| Document Date: 2014-09-17 13:14:19
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City Durham / / Company Name Of Company / / Facility Duke Hospital / Durham Regional Hospital / / IndustryTerm hospital insurance / food / / MedicalCondition last Tetanus / stomach ache / allergies / headache / / MedicalTreatment Emergency Treatment / surgical treatment / / Organization Duke Hospital / Durham Regional Hospital / NC Division of State Operated Healthcare Facilities Wright School / Wright School / / Position physician / / Product Tylenol / / ProvinceOrState North Carolina / / Technology cellular telephone / /
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NC Division of State Operated Healthcare Facilities Wright School 3132 N. Roxboro Rd. Durham, NC[removed]Authorization for Medical and Emergency Treatment