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Form 8288 for Tampa Florida: What You Should Know

Aspires Lutheran Hospital(715) 656‑3106ContactAspirus Mount Pleasant Hospital(715) 584‑3663β€€ Include as many fields as possible for your testing site. The field with a † sign indicates information is available only during this visit. Field 1 β€” Date of Visit Field 2 β€” Name, address, and telephone number Field 3 β€” Description of testing Field 4 β€” Telephone number β€” (if known) Field 5 β€” Contact address Field 6 β€” Address and date Field 7 β€” Contact details Field 8 β€” Location and date. Field 9 β€” Address Field 10 β€” Address and telephone number Field 11 β€” Business name and address Field 12 β€” Business address ‑ If the information is not available because it is not readily available. If the testing is at your testing site, or if we are making a reference to the address in question, then insert the address into β€£ β€€. β€€ Field 13 β€” Date of Testing (Year and day) Field 14 β€” Test Name, Address, and Telephone# Fields 15-18 β€” Date of testing (year and day) Fields 19-22 β€” Date of testing (year, morning) Field 20 β€” Address and telephone number Field 21 β€” Telephone# Field 22 β€” Contact Address Field 23 β€” Contact address Field 24 β€” Test Field 25 β€” Address and telephone number Field 26 β€” City, State and Zip code Field 27 β€” Date of testing Field 28 β€” Test (Year and night) and location Field 29 β€” Address Field 30 β€” Telephone number Field 1 β€” Name, address, and telephone number Field 2 β€” Description of testing (in this case a blood test) Field 3 β€” Telephone# Field 30 β€” Telephone number Field 31 β€” Contact address (if known) Field 32 β€” Contact details Field 33 β€” Contact address Field 34 β€” Contact details Field 35 β€” Contact details Field 36 β€” Contact details Field 37 β€” Contact details Field 38 β€” Contact details Field 39 β€” Contact details Field 40 β€” Mailing Address Field 41 β€” Mailing Address Field 42 β€” Mailing address Field 43 β€” Mailing Address Field 44 β€” Mailing address ‑ This information is available for a test held on the day of the month, week or year that the test date is. Form 433-B (Rev.

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