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Birchwood Terrace Rehab
43 Starr Farm Road • Burlington, VY 05408
Personal Information
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Address
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+ Convenience fee: 3%
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Birchwood Terrace Rehab
43 Starr Farm Road
Burlington, VY 05408
Tell: 802-863-6384
[response]
ID #[transid]
[created]
[cardholder]
$ [amount]
[cardtype] [ccnum4]
Authorization Number
[authcode]
AVS Response
[avsresult]
CVV response
[cvcresult]
[otherTransaction]
