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	Product	Price	Quantity	Total
×	Tielle Systagenix $96.32	$96.32	Quantity	$96.32
×	Tielle Systagenix $85.33	$85.33	Quantity	$85.33
×	Tielle Systagenix $172.73	$172.73	Quantity	$172.73
×	90 degree wire bender $71.41	$71.41	Quantity	$71.41
×	Tiburon Medical Swedish AFO Ankle Foot Orthosis $50.99	$50.99	Quantity	$50.99