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Workers' Compensation Board

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Temporary Surrendered Authorizations

Authorized Health Care Providers - Temporary Surrendered Authorizations
NAME AUTHORIZATION NUMBER EFFECTIVE DATE
Bailey, William E. 190385-5W 10/22/08
Intengan, Rosendo I. 126087-6W 11/25/08
Mandelblat, Zarina 227160-9W 7/1/09