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MEDICAL SOURCE STATEMENT OF ABILITY TO DO WORK-RELATED ACTIVITIES (PHYSICAL)
ICR 201611-0960-004 · OMB 0960-0662 · Object 69714701.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | MEDICAL SOURCE STATEMENT OF ABILITY TO DO WORK-RELATED ACTIVITIES (PHYSICAL) |
| Subject | Medical, Source, Statement, Ability, Work-Related, Activities, Physical, HA-1151-BK, HA-1151, 1151-BK, 1151 |
| Author | SSA |
| File Modified | 2009-05-06 |
| File Created | 2009-05-04 |
| Conversion State | failed_conversion |