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| SLI Medical # | 876547 |
| Manufacturer # | 790-0116QR |
| Manufacturer | Phoenix Printing |
| Country of Origin | Unknown |
| Application | Healthcare Form |
| Color | White / Red |
| Material | Paper |
| Type | Claim Form |
| UNSPSC Code | 42142304 |
| Product Name | Healthcare Form Claim Form |
|---|---|
| SKU | 101876547 |
| Price | $234.90 |
| Weight | 5.00 |
| Featured Product | No |
| Manufacturer Sku | 790-0116QR |
| UOM | CT |
| Manufacturer | Phoenix Printing |
| Short Description | FORM, HCFA 1 PT CONT REVISION DATE 02/12 (2500/CT) |
