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    Truform, Slip Sock, 0750 Remove
    Truform, Slip Sock, 0750
    1 X $9.00 = $9.00
    Procare, Universal Clavicle Splint, 79-85100 Remove
    Procare, Universal Clavicle Splint, 79-85100
    1 X $39.00 = $39.00
    REHASENSE, Track Wheel - Double Arm, Carbon, 12'' for Wheelchair Remove
    REHASENSE, Track Wheel - Double Arm, Carbon, 12'' for Wheelchair
    1 X $1,500.00 = $1,500.00
    BIOS, Sock Aid, 57032 Remove
    BIOS, Sock Aid, 57032
    1 X $21.00 = $21.00
    Permobil, SelectAir Series – Mattress, SA39MATT Remove
    Permobil, SelectAir Series – Mattress, SA39MATT
    1 X $3,400.00 = $3,400.00
    Procare, Nextep Air Shortie, 79-95443 Remove
    Procare, Nextep Air Shortie, 79-95443
    1 X $128.00 = $128.00
    Subtotal $5,097.00
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