Crossgates Veterinary Clinic
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Name:
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Email:
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Pet:
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Pet Species:
Pet Species
Dog
Cat
Horse
Bird
Rabbit
Other
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First Choice Date:
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Second Choice Date:
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Service requested:
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Annual Physical Exam
Dental Cleaning
Gland Expression
Grooming
Nail Trim
Other
Preventative Checkup
Sick Pet
Vaccinations
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Crossgates Veterinary Clinic
5544 Highway 80 E
Pearl
,
MS
39208
(601) 932-1245