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    Complement C3
    1 X $32.00 = $32.00
    Scl-70 Abs
    1 X $60.50 = $60.50
    Lipid Panel
    1 X $24.00 = $24.00
    Vitamin B12 & Folate
    1 X $30.00 = $30.00
    Prostatic Acid Phosphate
    1 X $60.00 = $60.00
    Sm (Smith) Abs
    1 X $48.00 = $48.00
    Subtotal $254.50
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