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10911 - November 17, 2023 -

Date

November 17, 2023

Repair Order

10911

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 #

M4841A

Serial #

US03863887

Asset Tag #

214090

Reported Failure

Broken case

Anything Else