Crystal Burns

  
 Patient: David Smith DOB:1996 Jun 07 
 David Smith DOB: 1996 Jun 07 (46 yo F) Acc No. 7588xx 
 
 YM 
 AKUMIN 
 Akumin Pembroke Pines 
 Phone: (954) 566xxx 
 10950 Pines Blvd 
 Fax: (954) 430xxx
 Pembroke Pines, FL 330xx 
 Website: akumin.com 
 
 Thank you for referring your patient to Akumin Pembroke Pines 
 Dr Ryan Jackson, M.D 
 Electronically Signed: 2023 Jun 24
 Exam requested by: JAIME ARANGO CIFUENTES MD 
 BIRADS: BI-RADS 2 
 The information contained in this facsimile message is privileged and confidential information intended only for the use of the individual or entity named as recipient. If 
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 Thank you! 
 Printed 2019 Jul 11 310 PM 
 David Smith (Exam: 2017 Apr 17 1:15 PM) 
 Page 41 of 41 
 David Smith  DOB: Nov 17, 1976 (46 yo F) Acc No. 7588xx 
 Page 141 of 141 
 Document: 2019 Jul 11 Records 
 Printed: 2019 Jul 11 12:22:11 
 Page 141 of 141
