<html> <head> <title>dermato-venereo</title> <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1"> </head>  <body bgcolor="#FFE8D8"> <table border="1" cellspacing="1" cellpadding="2" width="764" bordercolordark="#cc9966" bgcolor="#FFf0d8">   <tr bgcolor="#ffb068" bordercolordark="#CC9966">      <td width="19%" valign="TOP" height="43">        <div align="center"><font face="Arial" size="2"><b> NOM </b></font></div>     </td>     <td width="15%" valign="TOP" height="43">        <div align="center"><font face="Arial" size="2"><b>ADRESSE</b></font></div>     </td>     <td width="11%" valign="TOP" height="43">        <div align="center"><font face="Arial" size="2"><b> ADRESSE (suite) </b></font></div>     </td>     <td width="9%" valign="TOP" height="43">        <div align="center"><font face="Arial" size="2"><b> CODE POSTAL </b></font></div>     </td>     <td width="17%" valign="TOP" height="43">        <div align="center"><font face="Arial" size="2"><b> VILLE </b></font></div>     </td>     <td width="13%" valign="TOP" height="43">        <div align="center"><font face="Arial" size="2"><b>SECTEUR</b></font></div>     </td>     <td width="16%" valign="TOP" height="43">        <div align="center"><font face="Arial" size="2"><b> UTILISATION CARTE VITALE          </b></font></div>     </td>   </tr>   <tr>      <td colspan="7" valign="TOP" bgcolor="#FFE8D8" height="19">        <div align="center"><font face="Arial" size="3"><b>DERMATO-VENEROLOGIE</b></font></div>     </td>   </tr>   <tr>      <td width="19%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2">FAKIH-GROTTO        Marise </font></td>     <td width="15%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2">4,        avenue Lon Brun</font></td>     <td width="11%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2"></font></td>     <td width="9%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial" size="1">        <p align="CENTER"><font face="Arial, Helvetica, sans-serif" size="2">82100          </font>        </font></td>     <td width="17%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2">CASTELSARRASIN        </font></td>     <td width="13%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial" size="2">Conventionn&eacute;</font></td>     <td width="16%" valign="TOP" height="16" bgcolor="#FFE8D8">        <div align="center"><font size="2" face="Arial, Helvetica, sans-serif">OUI</font></div>     </td>   </tr>   <tr>      <td width="19%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2">FAURIE-CASTAGNON        Nicole </font></td>     <td width="15%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2">18,        boulevard Gustave Garrisson</font></td>     <td width="11%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2"></font></td>     <td width="9%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial" size="1">        <p align="CENTER"><font face="Arial, Helvetica, sans-serif" size="2">82000          </font>        </font></td>     <td width="17%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2">MONTAUBAN</font></td>     <td width="13%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial" size="2">Conventionn&eacute;</font></td>     <td width="16%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2"></font></td>   </tr>   <tr>      <td width="19%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2">LEMOINE-JOURDAN        Michle </font></td>     <td width="15%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2">26,        Avenue du Gnral Leclerc</font></td>     <td width="11%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2"></font></td>     <td width="9%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial" size="1">        <p align="CENTER"><font face="Arial, Helvetica, sans-serif" size="2">82300          </font>        </font></td>     <td width="17%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2">CAUSSADE        </font></td>     <td width="13%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial" size="2">Conventionn&eacute;</font></td>     <td width="16%" valign="TOP" height="16" bgcolor="#FFE8D8">        <div align="center"><font size="2" face="Arial, Helvetica, sans-serif">OUI</font></div>     </td>   </tr>   <tr>      <td width="19%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2">MAYBON        Philippe </font></td>     <td width="15%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2">20,        faubourg du Moustier</font></td>     <td width="11%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2">Rs.        Parc du Moustier</font></td>     <td width="9%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial" size="1">        <p align="CENTER"><font face="Arial, Helvetica, sans-serif" size="2">82000          </font>        </font></td>     <td width="17%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2">MONTAUBAN</font></td>     <td width="13%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial" size="2">Honoraires        libres </font></td>     <td width="16%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2"></font></td>   </tr>   <tr>      <td width="19%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2">NOUGUE        Jean </font></td>     <td width="15%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2">20,        faubourg du Moustier</font></td>     <td width="11%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2">Rs.        Parc du Moustier</font></td>     <td width="9%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial" size="1">        <p align="CENTER"><font face="Arial, Helvetica, sans-serif" size="2">82000          </font>        </font></td>     <td width="17%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2">MONTAUBAN</font></td>     <td width="13%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial" size="2">Honoraires        libres </font></td>     <td width="16%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2"></font></td>   </tr>   <tr>      <td width="19%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2">NOUGUE        Martine</font></td>     <td width="15%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2">20,        faubourg du Moustier</font></td>     <td width="11%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2">Rs.        Parc du Moustier</font></td>     <td width="9%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial" size="1">        <p align="CENTER"><font face="Arial, Helvetica, sans-serif" size="2">82000          </font>        </font></td>     <td width="17%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2">MONTAUBAN</font></td>     <td width="13%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial" size="2">Conventionn&eacute;</font></td>     <td width="16%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2"></font></td>   </tr>   <tr>      <td width="19%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2">SAURAT        Dominique</font></td>     <td width="15%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2">18,        boulevard Gustave Garrisson</font></td>     <td width="11%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2"></font></td>     <td width="9%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial" size="1">        <p align="CENTER"><font face="Arial, Helvetica, sans-serif" size="2">82000          </font>        </font></td>     <td width="17%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2">MONTAUBAN</font></td>     <td width="13%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial" size="2">Conventionn&eacute;</font></td>     <td width="16%" valign="TOP" height="16" bgcolor="#FFE8D8"><font face="Arial, Helvetica, sans-serif" size="2"></font></td>   </tr> </table> </body> </html> 
