| Document Date: 2014-05-21 14:26:25
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City Cleveland / / Company CSC / / / Event Product Issues / / Facility Cleveland Sight Center / O.S._____________________________________________________ Stable / University Circle facility / O.D._____________________________________________________ Stable / / / IndustryTerm work technology assessments / translation hardware/software / job placement services / auto focus telescopic systems / indoor and outdoor travel / optical magnifying devices / / Organization Cleveland Sight Center / Medicare / / / Position low vision therapist / rehabilitation teacher / / Product persons / / ProvinceOrState Ohio / / Technology Computer Technology / /
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1909 E. 101st Street Cleveland, OH[removed][removed]fax[removed]clevelandsightcenter.org Patient’s Name: