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2021-373-Health-Ashley Perez-Provide dental hygienist services
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2021-373-Health-Ashley Perez-Provide dental hygienist services
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Last modified
7/21/2021 9:33:49 AM
Creation date
7/21/2021 9:33:39 AM
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Contract
Date
6/29/2021
Contract Starting Date
6/29/2021
Contract Ending Date
7/1/2021
Contract Document Type
Agreement
Amount
$16,416.00
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9 <br />October 2013 <br />Associate affirms that they are in compliance with Article 3 of Chapter 64 if the North Carolina General <br />Statutes. <br /> <br />IN WITNESS WHEREOF, the Parties have executed this Agreement as of the day and year written <br />above. <br /> <br />COVERED ENTITY: BUSINESS ASSOCIATE: <br /> <br />By:_________________________________ By:___________________________________ <br /> <br />Title:________________________________ Title:__________________________________ <br />DocuSign Envelope ID: 7C92EBC6-C659-47CF-AB66-197597C1911B <br />BSDH, RDHOrange County Health Director
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