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HCA Order Form
Division Capital Division
Site/Hospital HCA Healthcare Center for Clinical Advancement
Billing Delivery
Name Luke.Routzon@hcahealthcare.com Name Luke Abram Routzon
Email George.Greene1@healthtrustpg.com Email luke.routzon@hcahealthcare.com
Address Line 1 Clinical Education Financial Reporting Address Line 1 7300 Beaufont Springs Dr.
Address Line 2 Clinical Education Financial Reporting Address Line 2 Suite 300
Address Line 3 Suite 1100 Address Line 3 .
City Nashville City Richmond
State VA State VA
ZIP 37203 ZIP 23225
Items to Order
Code Description Quantity Total ($)
S13106 Brayden Adult Face/Mouth Connector 5 $13.25
S17011 Brayden Baby/Infant Artificial Lung Air Guide 10 $16.60
$0.00
  Sub-Total $29.85