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Item Number: DRIPLA416FBUARADSF
Viper Plus GT 16" Wheelchair with Universal Armrests and Swing Away Footrest
Special Order, 3-5 DaysPack Size: 1
Package Description: 1/ Each
Manufacturer Number: PLA416FBUARAD-SF
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Item Number: DRISCOUTLT4
Scout LT 4-Wheel Scooter, Each
Special Order, 3-5 DaysPack Size: 1
Package Description: Each
Manufacturer Number: SCOUTLT4
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Item Number: DRIK318DDAELR
Cruiser III Wheelchair 18" Detachable Desk Arm Elevating Leg Rests, Each
Special Order, 3-5 DaysPack Size: 1
Package Description: Each
Manufacturer Number: K318DDA-ELR
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Item Number: DRIK320DDAELR
Cruiser III Wheelchair 20" Detachable Desk Arm Elevating Leg Rests, Each
Special Order, 3-5 DaysPack Size: 1
Package Description: Each
Manufacturer Number: K320DDA-ELR
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Item Number: DRIK318DDASF
Cruiser III Wheelchair 18" Detachable Desk Arm Swing Away Footrests, Each
Special Order, 3-5 DaysPack Size: 1
Package Description: Each
Manufacturer Number: K318DDA-SF
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Item Number: DRIK318ADDASF
Cruiser III Wheelchair 18" Flip Back Detachable Desk Arm Swing Away Footrests, Each
Special Order, 3-5 DaysPack Size: 1
Package Description: Each
Manufacturer Number: K318ADDA-SF
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Item Number: DRIK316DDAELR
Cruiser III Wheelchair 16" Detachable Desk Arm Elevating Leg Rests, Each
Special Order, 3-5 DaysPack Size: 1
Package Description: Each
Manufacturer Number: K316DDA-ELR
HCPCS Code: K0003
