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Jan. 4. 2009 12:39PM CBR Medical Inc. No. 2927 P. 1 3'1111 1:::, Mi~tiinn Ave . fipoksnp.. WP. [JOO f [ijJl)£J41. cAI~s~~ lLJ~· CBR Medil.:;'tl, Inc. - ::111 ti E. Mff;~~ion/Wu, SpOI(kllln, Wa 9920 :·;Ar:lttlr.: ['heme 20f:i ..(1t1·G4!·)3 ruxm'i-l!-'18-f'il'i:i9 f·'pni(anr.: rl10ns G09 ..:.',47.-B62'1 f""x ti09·,~r4(~:l(10 Tli .. Ciup.s PI lone 509 416-2f'l'i I"7Clx 5(lSl-3'10 ..'t'lO VW)r,C)UVCI' l'I10ne 3GO,f';:lti-6~G1 1-3)( 20tJ,41!l-06GF) , CONrlD[l'-ITII\LlTY NCHICI:::: II,i5 GomlTlunientinn is interrlit.cl for the solo !.ISlA of tho individual and entiiy [0 whom 'it is
.' :r Jan. ~ 2009 12:39PM C B R Me d i cal Inc. No, 2927 p, 2 Hello and good day. The following leHer is written' on hehal r () \\'''shl'ngt''n V'/w..;.. \oJ (.Jill""'- 1.1 t..,i n"'p""'''''''''n' .... "'":;a.i.~ili.,.. i..,.!. 1,I·C" .. vll~",~,l.:a ..........·j;riTI" is an
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STATE OF WASHINGTON DEPARTMENT OF C
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RECORDS PROVIDED WITH REDACTIONS ~~
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(".- " ~"""'":.~ Inr ... ~ STATEOFW
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i ( Documentation of Physician Auth
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Distefano, Monica J. (DOC) From: Se
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eRR Medical, Il1c 3115 E. Mission A
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Fax : ' 3115,E. Mission Ave Spokane
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Or-FENDER 1.0. DATA, j' STATE OF WA
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DoCumentation of Medical AuthoriZat
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STATE OF WASHINGTON DEPA'RTMENTOF C
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311S'E. Mission Ave Spokane, WA 992
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j I Documentation of MedicarAuthcir
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Chapter 69.51 A RCW: Medical marij1
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Chapter 69.S1A RCW: Medical marijua
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Chapter 69.511). RCW: Medical111ari
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OFFENDER 1.0. DATA: STATE OF WASHIN
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Prescriber's Name (Print) License#:
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3115 E. Mission Ave Spokane, WA 992
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. ! STATE OF WASHINGTON DEPARTMENT
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STATE OF WASHINGTON .DEPARTMENT OF
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T.)' ~x.. MARIJUANA MEDICINE'· 'EV
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Nov. 26. 2008 4:37PM CBR Medical In
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Wheeler, Judine L. (DOC) From: Sent
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Prescdbar's Name (pnnt) . Prasc~jje
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I I do ncit want to ruffle feathers
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Let me know if you have questions f
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Interpretation of Medical Marijuana
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From: Sent: To: Duggan, Brenda J. (
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NIELSEN TO COME UPSTAIRS. CCO NIELS
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Date & Tirpe Created: 12/16/2008 11
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PRIMARY CARE PHYSICIAN AND LOOKED O
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3. High Non-Violent 4. Moderate, an
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E.... KIOSK reporting may be used i
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to be processed now. If this was re
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Documentation of Medical Authorizat
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11/06/2008 13:05 - PAGE ./"""-1. II
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Dec .. l0. 2008 1:34PM CBR Medical
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Stern, Marc F. 'Dir Hlth Svc' (~OC)
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I J i Date License type: Prescriber
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STATE OF WASHINGTON . DEPARTMENT OF
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3115 E. Mission Ave Spokcme, WA 992
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OFFENDGR I,D, DATA: STATE OF WASHIN
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J STATE OF WASHINGTON DEPARTMENT OF
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3115 E. Mission Ave 'Spokane, WA 99
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OFFENDER 1.0. DATA: STATE OF WASHIN
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OFFENDER 1.0. DATA: STATE OFWASHING
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Scott L. Havsy, DO, DAApM -Board Ce
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Page 483: Distefano. Monica J. (DOC) From: Se
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