Patient Notebook

LifeCare Ambulance, Inc

640 Cleveland Street

Elyria, OH 44035

Phone: (440) 365 - 1152

Fax: (440) 365 - 2266

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1. Patient Information

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M.I.

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THIS PAYMENT WILL BE MADE TO LIFE CARE AMBULANCE IN LORAIN COUNTY, OHIO

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P (440) 365 - 1152

F (440) 365 - 2266

640 Cleveland Street

Elyria, OH 44035