| Document Date: 2013-07-29 11:40:35
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Company FAIRFIELD COUNTY LLC / / Facility Basement Apartment Finished Hot Water Baseboard / TURNPIKE MONROE / DWELLING TYPE / / / MedicalCondition ALLERGY / NONE Room Central Radiator Damp Wood Burning Stove Dry Allergy / infection / Nasal Polyps / rash / PREVIOUS ALLERGY TESTING / WHEEZING / ASTHMA / Sinus Infections / / MedicalTreatment antibiotics / / Organization Homemaker School / / Person ALL SMOKERS / SUE HINES / MD KATHERINE BLOOM / KENNETH BACKMAN / / / Position Physician / doctor/nurse / Major / / Product NO YES Previous Injection / Last Injection / Previous Allergy Injections / / ProvinceOrState ASTHMA CARE OF FAIRFIELD COUNTY / / Technology X-ray / / URL www.allergyandasthmacare.com / /
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ALLERGY & ASTHMA CARE OF FAIRFIELD COUNTY, LLC www.allergyandasthmacare.com KENNETH BACKMAN, MD IRENA VEKSLER, MD KATHERINE BLOOM, MD SUE HINES, APRN 55 WALLS DRIVE, SUITE 405 FAIRFIELD, CT7070