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2. After finishing this step, go to the subsequent stage and enter the essential details in all these fields - OPTOMETRISTS OR OPHTHALMOLOGIST, CERTIFICATION OF DISABILITIES AS, CFR, PART, I hereby certify that the above, PERMANENT UP TO YEARS, TEMPORARY MONTHS OR LESS, CERTIFIERS NAME Please print, CHECK ONE, PHYSICIANS ASSISTANT, BESB, USVA, MEDICAL LICENSE NUMBER Required, MEDICAL LICENSING STATE Required, and PHYSICIAN.
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