Chiropractic Acupuncture Health Center

www.cahc.biz
Dr.Cherie Johnson

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Blood Sugar Program

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I authorize Chiropractic Acupuncture Health Center to debit the account listed hereon $160.00, & agree to perform the issuer obligations. I affirm that the information entered on this form is true and correct and further declare that I have read, understand and accept Chiropractic Acupuncture Health Center Terms as referenced in the [Terms of Use] link below.

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Chiropractic Acupuncture Health Center
2224 Cahaba Valley Drive, STE B3 Birmingham, AL 35242
(205) 408-5600

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