Andre Shaffer

 
 THU 43 
 FAX 
 MRN: 1994221H 
 Andre Shaffer
 Nassau Unly. Medical 
 Gender: Female 
 Center 
 Age: 47y (1990 Apr 18) 
 Current Location: 
 ICC1-2471-JJ 
 Faculty Statement: 
 Attestation 
 Attending and Resident/Fellow/Physician's Assistant 
 Electronic Signatures: 
 Dr Maria Martinez (Physician) (Signed 2014 Aug 14 3:27) 
 Authored: Faculty Statement 
 Co-Signer: Date of Procedure, Pre-Op and Post-Op Diagnosis, Specimens, Brief 
 Operative Note, Procedure Details 
 Dr Joseph Sandoval (Resident Physician) (Signed 2015 Sep 29 3:27)  
 Authored: Date of Procedure, Pre-Op and Post-Op Diagnosis, Specimens, Brief 
 Operative Note, Procedure Details 
 Requested by: Philburn, Jacqueline (Med Rec Clerk), 2016 Jan 08 12:25 
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