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Clinic:
Address:
Date / Time:
Service: Dermatology
Provider:
Total service price: $300.00
Price: $300.00 (To be paid in clinic)
We ask that you please reschedule or cancel at least 1 day before the beginning of your appointment or you may be charged a cancellation fee.
Cancellations made less than 24 hours in advance will be subject to an $80 fee.
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