John Moran

 
 Date 16/08/01 
 Occupational Health A Northbay Affiliate 
 Page 
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 1101 B. Gale Wilson Blvd, Suite 203 
 Fairfield, CA 94533 
 (743) 643-4430. Fax: (743) 436-4431 
 Work Status Summary 
 Provider: 
 Lederer, Sheila PA 
 Visit Date: 
 19/05/01 Time In: 9:22AM Out: 10:23AM 
 Purpose: 
 Worker's Comp Follow Up 
 Presenting Problem 
 DATE OF INJURY: 
 21/05/24 
 Case Number: 2043-04302 
 Diagnosis 
 E885.9 
 Ulcerative Colitis 
 Visit Referrals 
 Referred To: A Referral 
 Date: 6/22/12 
 Referred To: A Physician Referral - NOS 
 Date: 6/22/12 
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