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2022-098-E-Health-Patagonia-Pay for additional Patagonia licenses for pharmacy app
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2022-098-E-Health-Patagonia-Pay for additional Patagonia licenses for pharmacy app
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Last modified
3/11/2022 4:52:38 PM
Creation date
3/11/2022 4:51:26 PM
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Contract
Date
3/10/2022
Contract Starting Date
3/10/2022
Contract Ending Date
3/11/2022
Contract Document Type
Contract
Amount
$2,700.00
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DocuSign Envelope ID:OE76022E-EB24-4BC8-9CBE-2BA3FA1CCA27 <br /> PatagoniaHealtb Sales Agreement <br /> FORM INSTRUCTIONS <br /> 1.Please review the agreement. Fill out information on page 1,9 and 10. Signed agreements can he <br /> either: <br /> • Fax to Patagonia Health Inc, at F: 919 238 7920 <br /> • Or email to s ics(&, tnoni hcalth.c . <br /> • Or Mail to Patagonia Health Inc,202,Midenhall Way, Cary,NC 27513 <br /> (Note Business address is: 15,200 Weston Parkway, Suite 106, Cary,NC 27513) <br /> Please call your local representative with any questions. <br /> Confidential Page 11 <br />
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