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ADDITIONAL REMARKS SCHEDULE Page of <br />Intemediary lnsured <br />Ellensburg Family Medicine <br />Policy Number <br />u54661 <br />lnsurer <br />MEDICAL PROTECTIVE COMPANY- MPC <br />Effective Date: 1 1 12912021 <br />NAL REMARKS <br />This Policy includes coverage for the professional services rendered under the First Named lnsured listed above by the following professionals: ZachDeffinbaugh, NP and Aaron Long, NP <br />This Additional Remarks form is a schedule to ACORD form, <br />Form Number Acord 25 Form Tifle:CERTIFICATE OF LIABILITY INSURANCE