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<title>FW: Sample prescription drugs</title>
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<div class=Section1>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Good catch, Jeff!&nbsp; I don&#8217;t think hazardous
waste status is a factor in sampling since it is primary a marketing tool. We do
have clients who refuse to take samples that become hazardous waste. <o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<div>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Best regards,</span></font><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>

<p class=MsoNormal><font size=3 color=navy face="Times New Roman"><span
style='font-size:12.0pt;color:navy'>&nbsp;<o:p></o:p></span></font></p>

<p class=MsoNormal><font size=3 color=navy face="Times New Roman"><span
style='font-size:12.0pt;color:navy'>&nbsp;<o:p></o:p></span></font></p>

<p class=MsoNormal><st1:PersonName w:st="on"><font size=2 color=navy
 face=Arial><span style='font-size:10.0pt;font-family:Arial;color:navy'>Charlotte
 A. Smith</span></font></st1:PersonName><font size=2 color=navy face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:navy'>, R. Ph., M.S., HEM</span></font><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>President</span></font><font color=navy><span
style='color:navy'><o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>PharmEcology Associates, LLC</span></font><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>

<p class=MsoNormal><st1:Street w:st="on"><st1:address w:st="on"><font size=2
  color=navy face=Arial><span style='font-size:10.0pt;font-family:Arial;
  color:navy'>12229 W. North Ave., Suite 2</span></font></st1:address></st1:Street><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>

<p class=MsoNormal><st1:place w:st="on"><st1:City w:st="on"><font size=2
  color=navy face=Arial><span style='font-size:10.0pt;font-family:Arial;
  color:navy'>Wauwatosa</span></font></st1:City><font size=2 color=navy
 face=Arial><span style='font-size:10.0pt;font-family:Arial;color:navy'>, <st1:State
 w:st="on">WI</st1:State> <st1:PostalCode w:st="on">53226</st1:PostalCode></span></font></st1:place><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>414-292-3959</span></font><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>414-915-4026 (cell)</span></font><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><a href="mailto:csmith@pharmecology.com">csmith@pharmecology.com</a></span></font><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>www.pharmecology.com</span></font><o:p></o:p></p>

</div>

<div>

<div class=MsoNormal align=center style='text-align:center'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'>

<hr size=2 width="100%" align=center tabindex=-1>

</span></font></div>

<p class=MsoNormal><b><font size=2 face=Tahoma><span style='font-size:10.0pt;
font-family:Tahoma;font-weight:bold'>From:</span></font></b><font size=2
face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'> Jeff Hollar
[mailto:jhollar@pwaste.com] <br>
<b><span style='font-weight:bold'>Sent:</span></b> Tuesday, October 14, 2008
8:20 PM<br>
<b><span style='font-weight:bold'>To:</span></b> <st1:PersonName w:st="on">Charlotte
 A. Smith</st1:PersonName>; 'Tenace, Laurie'; pharmwaste@lists.dep.state.fl.us<br>
<b><span style='font-weight:bold'>Cc:</span></b> ayoungblut@cvmspc.com<br>
<b><span style='font-weight:bold'>Subject:</span></b> RE: [Pharmwaste] FW:
Sample prescription drugs</span></font><o:p></o:p></p>

</div>

<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'><o:p>&nbsp;</o:p></span></font></p>

<p class=MsoNormal><font size=2 color="#1f497d" face=Calibri><span
style='font-size:11.0pt;font-family:Calibri;color:#1F497D'>Laura, <st1:City
w:st="on"><st1:place w:st="on">Charlotte</st1:place></st1:City>, All,<o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color="#1f497d" face=Calibri><span
style='font-size:11.0pt;font-family:Calibri;color:#1F497D'><o:p>&nbsp;</o:p></span></font></p>

<p class=MsoNormal><font size=2 color="#1f497d" face=Calibri><span
style='font-size:11.0pt;font-family:Calibri;color:#1F497D'>One would think that
a manufacturer would not distribute samples of a product that is considered a
RCRA hazardous waste when discarded, but it does happen.&nbsp; Example:
Jantoven (Warfarin Sodium), EPA Waste Code = P001.<o:p></o:p></span></font></p>

<div>

<p class=MsoNormal style='mso-margin-top-alt:5.0pt;margin-right:0in;margin-bottom:
5.0pt;margin-left:0in'><font size=3 color="#1f497d" face="Times New Roman"><span
style='font-size:12.0pt;color:#1F497D'><o:p>&nbsp;</o:p></span></font></p>

<p class=MsoNormal><font size=2 color=black face="Times New Roman"><span
style='font-size:10.0pt;color:black'>Jeff Hollar</span></font><font
color="#1f497d"><span style='color:#1F497D'><o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=black face="Times New Roman"><span
style='font-size:10.0pt;color:black'>President</span></font><font
color="#1f497d"><span style='color:#1F497D'><o:p></o:p></span></font></p>

<p class=MsoNormal><font size=3 color="#1f497d" face="Times New Roman"><span
style='font-size:12.0pt;color:#1F497D'>&nbsp;<o:p></o:p></span></font></p>

<p class=MsoNormal><b><font size=3 color=blue face="Times New Roman"><span
style='font-size:12.0pt;color:blue;font-weight:bold'>PharmWaste Technologies,
Inc.</span></font></b><font color="#1f497d"><span style='color:#1F497D'><o:p></o:p></span></font></p>

<p class=MsoNormal><st1:Street w:st="on"><st1:address w:st="on"><font size=2
  color=black face="Times New Roman"><span style='font-size:10.0pt;color:black'>4164
  NW Urbandale Dr.</span></font></st1:address></st1:Street><font size=2
color=black><span style='font-size:10.0pt;color:black'>, Suite A</span></font><font
color="#1f497d"><span style='color:#1F497D'><o:p></o:p></span></font></p>

<p class=MsoNormal><st1:place w:st="on"><st1:City w:st="on"><font size=2
  color=black face="Times New Roman"><span style='font-size:10.0pt;color:black'>Urbandale</span></font></st1:City><font
 size=2 color=black><span style='font-size:10.0pt;color:black'>, <st1:State
 w:st="on">IA</st1:State> <st1:PostalCode w:st="on">50322</st1:PostalCode></span></font></st1:place><font
color="#1f497d"><span style='color:#1F497D'><o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=black face="Times New Roman"><span
style='font-size:10.0pt;color:black'>(P) 515-276-5302 Ext. 316</span></font><font
color="#1f497d"><span style='color:#1F497D'><o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=black face="Times New Roman"><span
style='font-size:10.0pt;color:black'>(F) 480-393-5564</span></font><font
color="#1f497d"><span style='color:#1F497D'><o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=black face="Times New Roman"><span
style='font-size:10.0pt;color:black'>(E) <a href="mailto:Jhollar@Pwaste.com">Jhollar@Pwaste.com</a></span></font><font
color="#1f497d"><span style='color:#1F497D'><o:p></o:p></span></font></p>

<p class=MsoNormal><font size=3 color="#1f497d" face="Times New Roman"><span
style='font-size:12.0pt;color:#1F497D'>&nbsp;<o:p></o:p></span></font></p>

</div>

<p class=MsoNormal><font size=1 color=black face="Times New Roman"><span
style='font-size:8.0pt;color:black'>The unauthorized disclosure or interception
of e-mail is a federal crime. See 18 U.S.C. SEC 2517(4). This e-mail is
intended for the use of those whom it is addressed and may contain information
that is privileged, confidential, and exempt from disclosure under the law. If
you have received this e-mail in error, do not distribute or copy it. Please
return it immediately to the sender with attachments, if any, and notify the
sender by telephone.</span></font><font size=2 color="#1f497d" face=Calibri><span
style='font-size:11.0pt;font-family:Calibri;color:#1F497D'><o:p></o:p></span></font></p>

<div>

<div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in'>

<p class=MsoNormal><b><font size=2 face=Tahoma><span style='font-size:10.0pt;
font-family:Tahoma;font-weight:bold'>From:</span></font></b><font size=2
face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'> <st1:PersonName
w:st="on">Charlotte A. Smith</st1:PersonName> [mailto:csmith@pharmecology.com] <br>
<b><span style='font-weight:bold'>Sent:</span></b> Tuesday, October 14, 2008
7:35 PM<br>
<b><span style='font-weight:bold'>To:</span></b> Tenace, Laurie;
pharmwaste@lists.dep.state.fl.us<br>
<b><span style='font-weight:bold'>Cc:</span></b> ayoungblut@cvmspc.com<br>
<b><span style='font-weight:bold'>Subject:</span></b> RE: [Pharmwaste] FW:
Sample prescription drugs<o:p></o:p></span></font></p>

</div>

</div>

<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'><o:p>&nbsp;</o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>I&#8217;m not sure about the <st1:State
w:st="on"><st1:place w:st="on">Florida</st1:place></st1:State> statute, but the
FDA Prescription Drug Marketing Act prohibits manufacturers&#8217;
representatives from picking up samples once they have been distributed. I
believe the rep can assist the clinic in packaging them up for return to the
manufacturer, but realistically, that doesn&#8217;t happen. It&#8217;s
important to remember that any clinic that generates pharmaceutical waste of
any type has the responsibility of determining if the waste drugs are RCRA
hazardous waste. While most samples would not be listed drugs, since it is
newer drugs that are sampled and the regulations have not been updated, it is
possible that the samples could exhibit one of the characteristics of hazardous
waste. It is not therefore appropriate for businesses to use the landfill
option without reviewing their drugs first. It is also not a best management
practice. Clinics should check with their regulated medical waste vendors and
see if disposal of non-hazardous pharmaceutical waste by incineration is an
option for them. If they do have RCRA hazardous waste, they will need a
hazardous waste vendor also. <o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>I hope this helps. <o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<div>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Best regards,</span></font><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>

<p class=MsoNormal><font size=3 color=navy face="Times New Roman"><span
style='font-size:12.0pt;color:navy'>&nbsp;<o:p></o:p></span></font></p>

<p class=MsoNormal><font size=3 color=navy face="Times New Roman"><span
style='font-size:12.0pt;color:navy'>&nbsp;<o:p></o:p></span></font></p>

<p class=MsoNormal><st1:PersonName w:st="on"><font size=2 color=navy
 face=Arial><span style='font-size:10.0pt;font-family:Arial;color:navy'>Charlotte
 A. Smith</span></font></st1:PersonName><font size=2 color=navy face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:navy'>, R. Ph., M.S., HEM</span></font><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>President</span></font><font color=navy><span
style='color:navy'><o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>PharmEcology Associates, LLC</span></font><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>

<p class=MsoNormal><st1:Street w:st="on"><st1:address w:st="on"><font size=2
  color=navy face=Arial><span style='font-size:10.0pt;font-family:Arial;
  color:navy'>12229 W. North Ave., Suite 2</span></font></st1:address></st1:Street><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>

<p class=MsoNormal><st1:place w:st="on"><st1:City w:st="on"><font size=2
  color=navy face=Arial><span style='font-size:10.0pt;font-family:Arial;
  color:navy'>Wauwatosa</span></font></st1:City><font size=2 color=navy
 face=Arial><span style='font-size:10.0pt;font-family:Arial;color:navy'>, <st1:State
 w:st="on">WI</st1:State> <st1:PostalCode w:st="on">53226</st1:PostalCode></span></font></st1:place><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>414-292-3959</span></font><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>414-915-4026 (cell)</span></font><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><a href="mailto:csmith@pharmecology.com">csmith@pharmecology.com</a></span></font><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>www.pharmecology.com</span></font><o:p></o:p></p>

</div>

<div>

<div class=MsoNormal align=center style='text-align:center'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'>

<hr size=2 width="100%" align=center>

</span></font></div>

<p class=MsoNormal><b><font size=2 face=Tahoma><span style='font-size:10.0pt;
font-family:Tahoma;font-weight:bold'>From:</span></font></b><font size=2
face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'>
pharmwaste-bounces@lists.dep.state.fl.us
[mailto:pharmwaste-bounces@lists.dep.state.fl.us] <b><span style='font-weight:
bold'>On Behalf Of </span></b>Tenace, Laurie<br>
<b><span style='font-weight:bold'>Sent:</span></b> Tuesday, October 14, 2008
1:52 PM<br>
<b><span style='font-weight:bold'>To:</span></b>
pharmwaste@lists.dep.state.fl.us<br>
<b><span style='font-weight:bold'>Cc:</span></b> ayoungblut@cvmspc.com<br>
<b><span style='font-weight:bold'>Subject:</span></b> [Pharmwaste] FW: Sample
prescription drugs</span></font><o:p></o:p></p>

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<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'><o:p>&nbsp;</o:p></span></font></p>

<div>

<div>

<p class=MsoNormal><font size=2 color="#1f497d" face=Calibri><span
style='font-size:11.0pt;font-family:Calibri;color:#1F497D'>Can anyone help this
person?</span></font><o:p></o:p></p>

<p class=MsoNormal><font size=2 color="#1f497d" face=Calibri><span
style='font-size:11.0pt;font-family:Calibri;color:#1F497D'>&nbsp;</span></font><o:p></o:p></p>

<p class=MsoNormal><font size=2 color="#1f497d" face=Calibri><span
style='font-size:11.0pt;font-family:Calibri;color:#1F497D'>This question comes
up a lot for me. A Florida Statute says, &#8220;All out-of-date drug samples
must be returned to the manufacturer or distributor of that drug sample.&#8221;
(<st1:country-region w:st="on"><st1:place w:st="on">Ch.</st1:place></st1:country-region>
499.028(9), F.S.) However every drug rep I&#8217;ve asked (just while waiting
to see doctors at various times) has never heard this and insists that they do
not take back samples. </span></font><o:p></o:p></p>

<p class=MsoNormal><font size=2 color="#1f497d" face=Calibri><span
style='font-size:11.0pt;font-family:Calibri;color:#1F497D'>&nbsp;</span></font><o:p></o:p></p>

<p class=MsoNormal><font size=2 color="#1f497d" face=Calibri><span
style='font-size:11.0pt;font-family:Calibri;color:#1F497D'>Thanks!</span></font><o:p></o:p></p>

<p class=MsoNormal><font size=2 color="#1f497d" face=Calibri><span
style='font-size:11.0pt;font-family:Calibri;color:#1F497D'>Laurie</span></font><o:p></o:p></p>

<p class=MsoNormal><font size=2 color="#1f497d" face=Calibri><span
style='font-size:11.0pt;font-family:Calibri;color:#1F497D'>&nbsp;</span></font><o:p></o:p></p>

<p class=MsoNormal style='margin-bottom:12.0pt'><font size=2 color="#1f497d"
face="Times New Roman"><span style='font-size:10.0pt;color:#1F497D'>Laurie J.
Tenace<br>
Environmental Specialist<br>
Florida Department of Environmental Protection<br>
<st1:place w:st="on"><st1:City w:st="on">2600</st1:City> Blair Stone Road, <st1:State
 w:st="on">MS</st1:State></st1:place> 4555<br>
<st1:place w:st="on"><st1:City w:st="on">Tallahassee</st1:City>, <st1:State
 w:st="on">Florida</st1:State> <st1:PostalCode w:st="on">32399-2400</st1:PostalCode></st1:place><br>
PH: (850) 245-8759<br>
FAX: (850) 245-8811<br>
Laurie.Tenace@dep.state.fl.us&nbsp;<br>
<br>
Mercury web pages:<br>
<a href="http://www.dep.state.fl.us/waste/categories/mercury/default.htm">http://www.dep.state.fl.us/waste/categories/mercury/default.htm</a><br>
<br>
Unwanted Medications web pages:<br>
<a href="http://www.dep.state.fl.us/waste/categories/medications/default.htm">http://www.dep.state.fl.us/waste/categories/medications/default.htm</a><br>
<br>
<br>
<br>
<br>
Please Note:&nbsp; <st1:State w:st="on"><st1:place w:st="on">Florida</st1:place></st1:State>
has a very broad public records law.&nbsp; Most written communications to or
from state officials regarding state business are public records available to
the public and media upon request.&nbsp; Your e-mail is communications and may
therefore be subject to public disclosure.<br>
<br>
<br>
</span></font><o:p></o:p></p>

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<p class=MsoNormal style='margin-bottom:12.0pt'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'><o:p>&nbsp;</o:p></span></font></p>

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<div>

<p class=MsoNormal><em><i><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>The Department of Environmental Protection values your
feedback as a customer. DEP Secretary Michael W. Sole is committed to
continuously assessing and improving the level and quality of services provided
to you. Please take a few minutes to comment on the quality of service you
received. Simply click on <a
href="http://survey.dep.state.fl.us/?refemail=Laurie.Tenace@dep.state.fl.us"
target="_blank">this link to the DEP Customer Survey</a>. Thank you in advance
for completing the survey.</span></font></i></em><font size=1 face="Courier New"><span
style='font-size:9.0pt;font-family:"Courier New"'><o:p></o:p></span></font></p>

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<div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in'>

<p class=MsoNormal><b><font size=2 face=Tahoma><span style='font-size:10.0pt;
font-family:Tahoma;font-weight:bold'>From:</span></font></b><font size=2
face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'> Angie Youngblut
[mailto:AYoungblut@cvmspc.com] <br>
<b><span style='font-weight:bold'>Sent:</span></b> Tuesday, October 14, 2008
2:39 PM<br>
<b><span style='font-weight:bold'>To:</span></b>
pharmwaste@lists.dep.state.fl.us<br>
<b><span style='font-weight:bold'>Subject:</span></b> FW: Sample prescription
drugs</span></font><o:p></o:p></p>

</div>

</div>

<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>&nbsp;<o:p></o:p></span></font></p>

<p><font size=2 face="Comic Sans MS"><span style='font-size:10.0pt;font-family:
"Comic Sans MS"'>I have been trying to get one clear answer- and haven't had
much success. I have tried EPA, DNR, Iowa Board of Pharmacy, local landfill and
others. I have expired sample prescription drugs to dispose of and I don't want
to break any regulations, however I have been told I am a &quot;waste
generating facility&quot; and therefore have different rules. It has been
recommended to me to mix them with undesirable substances and put in regular
trash and that they are not considered hazardous.</span></font><o:p></o:p></p>

<p><font size=2 face="Comic Sans MS"><span style='font-size:10.0pt;font-family:
"Comic Sans MS"'>I do not have the option of giving them to a charitable
organization because they will only take them( in the Iowa Drug Repository
program) with a year left on the expiration and our offices keep them until
they expire. </span></font><o:p></o:p></p>

<p><font size=2 face="Comic Sans MS"><span style='font-size:10.0pt;font-family:
"Comic Sans MS"'>Is there any clear guideline federally or in <st1:State w:st="on"><st1:place
 w:st="on">Iowa</st1:place></st1:State> that I have missed?</span></font> <o:p></o:p></p>

<p><font size=3 color=teal face="Franklin Gothic Medium"><span
style='font-size:12.0pt;font-family:"Franklin Gothic Medium";color:teal'>Angie
Youngblut RN, BS</span></font> <br>
<font size=2 color=teal face="Franklin Gothic Medium"><span style='font-size:
10.0pt;font-family:"Franklin Gothic Medium";color:teal'>Clinical <st1:place
w:st="on"><st1:PlaceName w:st="on">Practice Manager</st1:PlaceName><font
 size=3 color=black face="Times New Roman"><span style='font-size:12.0pt;
 font-family:"Times New Roman";color:windowtext'> <br>
 </span></font><st1:PlaceName w:st="on">Cedar</st1:PlaceName> <st1:PlaceType
 w:st="on">Valley</st1:PlaceType></st1:place> Medical Specialists, P.C.</span></font>
<br>
<font size=2 color=teal face="Franklin Gothic Medium"><span style='font-size:
10.0pt;font-family:"Franklin Gothic Medium";color:teal'>4150 <st1:address
w:st="on"><st1:Street w:st="on">Kimball Avenue</st1:Street><font size=3
 color=black face="Times New Roman"><span style='font-size:12.0pt;font-family:
 "Times New Roman";color:windowtext'> <br>
 </span></font><st1:City w:st="on">Waterloo</st1:City>, <st1:State w:st="on">Iowa</st1:State>
 <st1:PostalCode w:st="on">50701</st1:PostalCode></st1:address></span></font> <br>
<font size=2 color=teal face="Franklin Gothic Medium"><span style='font-size:
10.0pt;font-family:"Franklin Gothic Medium";color:teal'>Phone 319-235-5390</span></font>
<br>
<font size=2 color=teal face="Franklin Gothic Medium"><span style='font-size:
10.0pt;font-family:"Franklin Gothic Medium";color:teal'>Fax 319-287-9249</span></font>
<br>
<font size=2 color=teal face="Franklin Gothic Medium"><span style='font-size:
10.0pt;font-family:"Franklin Gothic Medium";color:teal'>ayoungblut@cvmspc.com</span></font>
<o:p></o:p></p>

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