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  Ref-04947 Medical/Clinic Director Attestation, AHCA Form 3110-1028 (Sept 2014)  

 
FINAL AHCA 3110-1028 Medical Clinic Director Attestation September 2014.docx
Medical/Clinic Director Attestation of Legal Responsibility for a clinic's activities.   1/7/2015
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Agency:

Agency for Health Care Administration
59A. Health Facility and Agency Licensing

Description:

Medical/Clinic Director Attestation of Legal Responsibility for a clinic's activities.

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