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    Pride, Jazzy Carbon Power Wheelchair Remove
    Pride, Jazzy Carbon Power Wheelchair
    1 X $3,190.00 = $3,190.00
    ERP, Hip Kit No. 3, PP1900-03 Remove
    ERP, Hip Kit No. 3, PP1900-03
    1 X $59.00 = $59.00
    MOBB, Disposable Isolation Gown, DPG015 Remove
    MOBB, Disposable Isolation Gown, DPG015
    1 X $32.00 = $32.00
    Joerns, Mattress - Arise1000 EX Low Air Loss, AREXLAL Remove
    Joerns, Mattress - Arise1000 EX Low Air Loss, AREXLAL
    1 X $11,384.00 = $11,384.00
    Medline, Bariatric Quad Cane with Small Base, MDS86222XW Remove
    Medline, Bariatric Quad Cane with Small Base, MDS86222XW
    1 X $65.00 = $65.00
    Subtotal $14,730.00
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