· 2020. 12. 9. · Russ Tannenbaum, D.C., PA 5800 Colonial Drive, Suite 305 * Margate, Florida...
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Transcript of · 2020. 12. 9. · Russ Tannenbaum, D.C., PA 5800 Colonial Drive, Suite 305 * Margate, Florida...
![Page 1: · 2020. 12. 9. · Russ Tannenbaum, D.C., PA 5800 Colonial Drive, Suite 305 * Margate, Florida 33063 * Office 954-968-8400 * Facsimile 954-968-8468 PATIENT INTAKE FORM PLEASE PRINT](https://reader036.fdocuments.in/reader036/viewer/2022071302/60a8c6c00732e401345127f7/html5/thumbnails/1.jpg)
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