![](https://www.pdfsearch.io/img/253f2ac26b67d4f9e83e40439cb676f5.jpg) Date: 2015-09-24 17:42:06
| | 601 Potrero Grande Drive, Monterey Park, CATelephone: (UM Direct FAX Line: (LONG TERM CARE AUTHORIZATION REQUEST (LA) URGENTAdd to Reading ListSource URL: www.care1st.comDownload Document from Source Website File Size: 88,71 KBShare Document on Facebook
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