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Tel: 123-456-7890

Fax: 123-456-7890


Become empowered as you choose where 10% of the cost of your office visit is donated. Choose from one of 10 charitable causes.  Don’t see a cause you would like to be included in the list?  Let us know, and we can direct 10% of your visit cost there. 

Note: Donations are directed to non-profit organizations and to 501(c)(3) organizations, not to individuals.

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