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Dale PATIENT <br />0828/2019 MARIE JAKUBOWSKI <br />125/1929 Female <br />Nebraska House -Cal Physicians. PC <br />PO Box 22359 <br />Lincoln, NE 68542 <br />Phone:(402)730.6870 Fax(888)659-4005 <br />Vitals <br />PROBLEMS <br />Name : MARIE JAKUBOWSKI <br />DOB: 12/05/1929 <br />Location: SOUTHLAKE VILLAGE <br />ACCOUNT; <br />JAK14773 <br />MARIE JAKUBOWSKI 89Y Female was seen at SOUTHLAKE VILLAGE . <br />To Whom ft May Concern <br />Marie suffered a strok on 5-22-19. and though she is mentally competent she is not physically ableFo <br />sale of her house and wishes to appoint her family to act on her behalf. It is very difficult for her to, <br />to sign due to muscle weakness in her hand.• <br />Thank you, <br />PA -C <br />Electronically signed by <br />JILENNE MCADAM, PA -C <br />06128/2019 <br />The.Infornnation on this page is CONFIDENTIAL. Any./ $ a* <br />the patient listed above. For questioi regarr, <br />