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Get Requestor's Name And Address Summit Rehabilitaton Centers Co The Morris Law Firm 702 S Beckley Ave

DINGS AND DECISION PART I: GENERAL INFORMATION A Requestor s Name and Address: MFDR Tracking #: SUMMIT REHABILITATON CENTERS C/O THE MORRIS LAW FIRM 702 S BECKLEY AVE DALLAS TX 75203 Respondent Name and Box #: M4-06-2117-01 DWC Claim #: Injured Employee: Date of Injury: Employer Name: Twin City Fire Insurance Co. Box #: 47 Insurance Carrier #: PART II: REQUESTOR S POSITION SUMMARY AND PRINCIPLE DOCUMENTATION Requestor s Position Summary: DOS 2/16/05, 3/16/05, 4/8/05 through 7/13.

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