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Castro, Ciro, SFA

Provider: Ciro Castro, SFA Specialty:

The provider shown above has applied for Medical Staff membership and/or
privileges at Ascension Tennessee Saint Thomas Rutherford and has listed you as
a professional reference. In order to process this application, information
regarding the provider's clinical performance is required.

Please use the link below to complete the confidential practitioner evaluation.
The applicant's signed consent and release form and the requested privileges (if
applicable) are attached.

Your prompt response will be greatly appreciated. The applicant has specifically
authorized us to obtain this information and has signed a statement extending
immunity to and releasing from liability all third parties who provide
information pursuant to this request. You are also granted significant immunity
from liability under federal and state law when providing this information.

If you have any questions or require any additional information, please contact
Mackenzie Baker at or Mackenzie.Baker1@ascension.org.

Thank you for your prompt attention to this important matter.
https://portal.mdstaff.com/reviews/fbd4f545-878c-484f-82a4-0ae76513719c/baa75585-d4e1-4f78-b84e-95b23808bc29

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