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11374 - July 1, 2024 -

Date

July 1, 2024

Repair Order

11374

Facility

Facility Name

BSA

Contact Name

Brian Carlton

Billing Name

BSA Hospital

Email Address

brian.carlton@bsahs.org

Phone Number

Shipping Address

1600 Wallace Blvd

Amarillo, TX 79106

United States

Billing Address

Equipment

PO #

Manufacturer

Philips

Model #

M3002A

Serial #

DE654U7351

Asset Tag #

205911

Reported Failure

Physical damage

Anything Else