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10917 - November 22, 2023 -

Date

November 22, 2023

Repair Order

10917

Facility

Facility Name

BSA Health System

Contact Name

Sean Hadaway

Billing Name

BSA Hospital

Email Address

sean.hadaway@bsahs.org

Phone Number

Shipping Address

1600 Wallace BLVD

Amarillo, Texas 79106

United States

Billing Address

Equipment

PO #

Manufacturer

Phillips

Model #

Intellivue MP30

Serial #

de50407369

Asset Tag #

Reported Failure

Broken/cracked screen

Anything Else