scanned pages - academic urology & urogynecology of arizona · email address: primary care...

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Page 1: Scanned Pages - Academic Urology & Urogynecology of Arizona · Email Address: Primary Care Physician: Preferred Pharmacy: Pharm?cy Address/Street and Crossroads: Reason(s) for Visit
Page 2: Scanned Pages - Academic Urology & Urogynecology of Arizona · Email Address: Primary Care Physician: Preferred Pharmacy: Pharm?cy Address/Street and Crossroads: Reason(s) for Visit
Page 3: Scanned Pages - Academic Urology & Urogynecology of Arizona · Email Address: Primary Care Physician: Preferred Pharmacy: Pharm?cy Address/Street and Crossroads: Reason(s) for Visit
Page 4: Scanned Pages - Academic Urology & Urogynecology of Arizona · Email Address: Primary Care Physician: Preferred Pharmacy: Pharm?cy Address/Street and Crossroads: Reason(s) for Visit
Page 5: Scanned Pages - Academic Urology & Urogynecology of Arizona · Email Address: Primary Care Physician: Preferred Pharmacy: Pharm?cy Address/Street and Crossroads: Reason(s) for Visit
Page 6: Scanned Pages - Academic Urology & Urogynecology of Arizona · Email Address: Primary Care Physician: Preferred Pharmacy: Pharm?cy Address/Street and Crossroads: Reason(s) for Visit
Page 7: Scanned Pages - Academic Urology & Urogynecology of Arizona · Email Address: Primary Care Physician: Preferred Pharmacy: Pharm?cy Address/Street and Crossroads: Reason(s) for Visit
Page 8: Scanned Pages - Academic Urology & Urogynecology of Arizona · Email Address: Primary Care Physician: Preferred Pharmacy: Pharm?cy Address/Street and Crossroads: Reason(s) for Visit
Page 9: Scanned Pages - Academic Urology & Urogynecology of Arizona · Email Address: Primary Care Physician: Preferred Pharmacy: Pharm?cy Address/Street and Crossroads: Reason(s) for Visit
Page 10: Scanned Pages - Academic Urology & Urogynecology of Arizona · Email Address: Primary Care Physician: Preferred Pharmacy: Pharm?cy Address/Street and Crossroads: Reason(s) for Visit
Page 11: Scanned Pages - Academic Urology & Urogynecology of Arizona · Email Address: Primary Care Physician: Preferred Pharmacy: Pharm?cy Address/Street and Crossroads: Reason(s) for Visit
Page 12: Scanned Pages - Academic Urology & Urogynecology of Arizona · Email Address: Primary Care Physician: Preferred Pharmacy: Pharm?cy Address/Street and Crossroads: Reason(s) for Visit
Page 13: Scanned Pages - Academic Urology & Urogynecology of Arizona · Email Address: Primary Care Physician: Preferred Pharmacy: Pharm?cy Address/Street and Crossroads: Reason(s) for Visit
Page 14: Scanned Pages - Academic Urology & Urogynecology of Arizona · Email Address: Primary Care Physician: Preferred Pharmacy: Pharm?cy Address/Street and Crossroads: Reason(s) for Visit
Page 15: Scanned Pages - Academic Urology & Urogynecology of Arizona · Email Address: Primary Care Physician: Preferred Pharmacy: Pharm?cy Address/Street and Crossroads: Reason(s) for Visit
Page 16: Scanned Pages - Academic Urology & Urogynecology of Arizona · Email Address: Primary Care Physician: Preferred Pharmacy: Pharm?cy Address/Street and Crossroads: Reason(s) for Visit
Page 17: Scanned Pages - Academic Urology & Urogynecology of Arizona · Email Address: Primary Care Physician: Preferred Pharmacy: Pharm?cy Address/Street and Crossroads: Reason(s) for Visit
Page 18: Scanned Pages - Academic Urology & Urogynecology of Arizona · Email Address: Primary Care Physician: Preferred Pharmacy: Pharm?cy Address/Street and Crossroads: Reason(s) for Visit