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11023 - February 14, 2024 -

Date

February 14, 2024

Repair Order

11023

Facility

Facility Name

WTH Dyersburg Hospital

Contact Name

Benny Hopgood

Billing Name

Accounts Payable

Email Address

benny.hopgood@wth.org

Phone Number

Shipping Address

400 E Tickle St

Dyersburg, TN 38024

United States

Billing Address

Equipment

PO #

pending

Manufacturer

Alaris

Model #

8100

Serial #

12669248

Asset Tag #

2993

Reported Failure

Channel error

Anything Else