The Urology Group
 
Patient First Name Cameron
Patient Last Name Eure
Patient Middle Initial  
Patient Date of Birth 9/12/88
Patient Account Number 1234
Payment Amount 0.01
Full Name Cameron Eure
Address Line 1 12724 104th Ave CT E
Address Line 2 APT G203
City Puyallup
State/Province WA
Postal Code 98374
Country United States
Phone Number 2532549670
Email turbinater@gmail.com

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