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<p align="center"><span style="font-size:9pt"> </span><span style="font-size:9pt;font-weight:600">{{NOM PRENOM MEDECIN}}</span><br /><br /><span style="font-style:italic;font-size:6pt"><br /></span><span style="font-style:italic;font-size:8pt">Document mis en page par MedinTux</span></p>
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