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Entin and Della Fera, P.A
110 SE 6th StreetSuite 1970
Fort Lauderdale, FL 33301
Phone: 866-435-1605

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Were any of the following field sobriety tests performed (check all that apply)?

Breathalizer
Alphabet
Counting
Balance
Nose

Were you arrested at the scene?

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eg. xxx-xxx-xxxx

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