Innosonian, Inc
Innosonian, Europe
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| HCA Order Form |
| Division | TriStar Division | ||
| Site/Hospital | TriStar CCA | ||
| Billing | Delivery | ||
| Name | Matthew.Thomas4@hcahealthcare.com | Name | Carlos Reyes |
| George.Greene1@healthtrustpg.com | Carlos.Reyes@hcahealthcare.com | ||
| Address Line 1 | Clinical Education Financial Reporting | Address Line 1 | 5380 Hickory Hollow Pkwy |
| Address Line 2 | Clinical Education Financial Reporting | Address Line 2 | Suite 200 |
| Address Line 3 | Suite 1100 | Address Line 3 | |
| City | Nashville | City | Antioch |
| State | TN | State | TN |
| ZIP | 37203 | ZIP | 37013 |
| Items to Order | |||
| Code | Description | Quantity | Total ($) |
| [980] | Brayden Pro Adult Body Skin Magnet | 4 | $15.76 |
| [980] | 1 | $0.00 | |
| Sub-Total | $15.76 | ||