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2021-382-Health-Ibraheem G. Ackall, DDS-Dental Service
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2021-382-Health-Ibraheem G. Ackall, DDS-Dental Service
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Last modified
7/21/2021 9:46:33 AM
Creation date
7/21/2021 9:46:14 AM
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Contract
Date
7/6/2021
Contract Starting Date
7/6/2021
Contract Ending Date
7/8/2021
Contract Document Type
Agreement
Amount
$8,000.00
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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: D4681637-BD4D-4B56-88F1-150292E54C5F <br />Ibraheem George ackallOrange County Health Director
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