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×	Functional Capacities Evaluation & References	$57.00	Functional Capacities Evaluation & References quantity	$57.00
×	COVID-19 & Infectious Diseases Preparedness & Response Plan	$37.00	COVID-19 & Infectious Diseases Preparedness & Response Plan quantity	$37.00
×	Rehab Therapy Evaluation Form	$57.00	Rehab Therapy Evaluation Form quantity	$57.00
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Subtotal	$151.00
Total	$151.00