Thursday, June 15, 2017

Major General Thomas R. Tempel, Jr., Commanding General of the U.S. Army Regional Health Command – Central


Today’s guest is Major General Thomas R. Tempel, Jr., the Commanding General of the U.S. Army Regional Health Command – Central, and the Chief of the US Army Dental Corps. The Regional Health Command - Central is one of four geographic commands in the US Army Medical Department. The Regional Health Command - Central is the largest geographic command, and covers from Louisiana to Minnesota in the east and Southern California to Idaho in the west. It includes fourteen subordinate commands, including 12 hospitals and outpatient clinics, as well as the Dental Command - Central and the Public Health Command - Central. The Command provides care for more than 440,000 military beneficiaries, and in 2016 delivered 5.8 million clinic visits, 7,600 live births, and 57,000 admissions. 

Major General Tempel is a third generation member of the Army Medical Department. He entered active duty in 1991 as an Army dentist, serving with a variety of operational units including the 1st Special Forces, and commanded the 464th Dental Company while deployed to Iraq in support of Operation Iraqi Freedom. He later served in a series of clinical leadership roles including the Commander of the US Army Dental Command and the Commander of the Western Regional Medical Command before coming to his current role.

I really enjoyed talking with Major General Tempel about his unusual career. We conclude with a brief discussion about his leadership philosophy, but I think you will get a sense of the kind of leader he is throughout the interview.

Links to the Podcast
Soundcloud: 
Edited: https://soundcloud.com/healthleaderforge/mg-thomas-r-tempel-jr-cg-of-the-regional-medical-command-central-1
Full Length: https://soundcloud.com/healthleaderforge/mg-thomas-r-tempel-jr-cg-of-the-regional-medical-command-central 
Stitcher: http://www.stitcher.com/podcast/the-health-leader-forge
iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377
YouTube: https://youtu.be/Pj7A_9c-k0c

Podcast Outline (applies to full length interview)

Time      Topic
0:02:14 Gettysburg College, pre-dental
0:04:16 being an Army brat, the influence of ROTC on his future
0:07:08 Family history in military medicine
0:08:27 dental school at U of MD
0:09:14 surprises about dental school
0:10:28 establishment of clinician identity
0:11:55 coming on active duty
0:14:48 residency in general dentistry
0:15:56 examples of specialties included in the residency
0:16:30 training and selection for the special forces
0:19:59 selection and Q course
0:21:24 role of the dental surgeon with the Special Forces
0:23:59 leadership lessons from Special Forces experience
0:26:51 unique clinical experiences working with the Special Forces
0:30:16 providing dental support in Iraq during OIF
0:33:10 first experience of command
0:35:53 Command of Ft. Meade DENTAC - transition from operational (TOE) units 
                        to fixed facility (TDA) units
0:38:54 Commander, Northern Regional Dental Command
0:40:49 adjusting leadership for a geographically dispersed organization
0:44:21 Commander, US Army Dental Command
0:46:49 scope of the US Army Dental Command
0:47:35 "Go First Class"
0:52:47 Chief of the Army Dental Corps
0:55:19 what do most people misunderstand about dentistry?
0:57:51 what doe people misunderstand about military dentistry?
0:58:27 Commander, Western Regional Health Command
1:00:12 scope of Central Medical Command
1:03:15 structure of the Central Medical Command headquarters
1:04:52 how does the regional structure add value
1:06:18 role of the Commander
1:06:54 a day in the life of the Commander
1:08:22 most important metrics tracked
1:09:21 what keeps him up at night
1:10:55 what is he most excited about in the future of Army medicine
1:12:18 leadership philosophy
1:15:41 advice for early careerists


Topics Discussed:

Major General Thomas R. Tempel, Jr. Biography

Regional Health Command - Central

Gettysburg College

University of Maryland School of Dentistry

Army Dentistry

US Army Special Forces Training

Ft. Meade DENTAC




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Monday, May 15, 2017

Gregory A. White, CPA, CEO of Lamprey Health Care


Today's guest is Gregory A. White, CPA. the CEO of Lamprey Health Care. Lamprey Health Care is a federally qualified health clinic (FQHC) with locations in New Hampshire: Nashua, Raymond, and Newmarket. Federally qualified health clinics are community-based healthcare providers that provide primary care and a range of other services to clients regardless of ability to pay. As a result they are often safety net care providers in a community.

In this podcast Greg tells us about his journey from being an auditor in a public accounting firm to a career in healthcare, coming up through the finance and accounting side of healthcare delivery organizations. One of the unique aspects of Lamprey Health Care is each of its locations are in very different communities.

This podcast was guest-hosted by University of New Hampshire students Regan Judge and Caroline Sweny.


Links to the Podcast
Soundcloud: https://soundcloud.com/healthleaderforge/gregory-a-white-cpa-ceo-of-lamprey-health-care
Stitcher: http://www.stitcher.com/podcast/the-health-leader-forge
iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377
YouTube: https://youtu.be/aoetUX55Io8

Podcast Outline

Time                Topic
0:01:15 studying accounting at Babson College
0:02:02 becoming a CPA, entering the non-profit sector though auditing
0:04:12 Greater Lawrence Family Health Center
0:06:49 building a Family Medicine residency program within an FQHC
0:10:32 Manchester Community Health Center - benefits of being in a small organization
0:11:57 making the jump to executive ranks
0:13:38 financing growth at a FQHC
0:16:11 Lowell Community Health Center
0:18:17 Lamprey Health Care
0:19:18 mission of Lamprey
0:20:06 making the transition to the CEO role
0:21:51 how did previous roles prepare for CEO role
0:22:28 Lamprey senior leadership team
0:23:02 what is the workplace culture like at Lamprey
0:24:07 metrics used to evaluate the health of the organization
0:26:11 what external issues does he track
0:30:16 moving toward population health and the opioid crisis
0:32:05 what is the role of the board of Lamprey Health Care
0:32:53 strategic planning
0:34:27 motivating employees
0:35:40 most important thing learned from role of CEO
0:36:31 what was most surprising about the role of CEO
0:37:36 what keeps him up at night
0:38:13 what is the thing people outside of healthcare least understand about FQHCs
0:39:03 making the transition from a large town like Lowell to a small town like Newmarket
0:39:45 how did the community served change
0:40:55 how has healthcare changed
0:41:35 leadership philosophy
0:42:57 characteristics of a good leader
0:44:08 leadership role models
0:45:29 difficult leadership lesson
0:47:03 what does he look for when hiring leaders
0:48:04 what is organizational culture
0:49:43 how do leaders shape organizational culture
0:50:29 mentors
0:52:30 what does a good mentor do
0:53:54 how important is the mentor relationship
0:54:43 the importamce of professional organizations
0:55:29 get experience by watching senior leaders
0:56:50 why work at an FQHC
0:58:03 what to study to get into leadership at an FQHC


Topics Discussed:

Lamprey Health Care

Lowell Community Health Center

Manchester Community Health Center

Greater Lawrence Family Health Center

AAFPCPA

Babson College



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Monday, May 1, 2017

Richard W. Silveria, SVP of Finance and CFO of Boston Medical Center


Today's guest is Richard W. Silveria, the Senior Vice President of Finance and CFO of Boston Medical Center. Rich is the Senior Vice President for Finance and the Chief Financial Officer for Boston Medical Center. Boston Medical Center is a safety net hospital, with roughly 80% of its $1.2 billion revenues coming from Medicare and Medicaid. In addition to being a safety net hospital, it is an academic teaching hospital associated with Boston University’s medical school.


Rich has been the Chief Financial Officer since 2010. During his tenure he helped engineer a financial turnaround of the organization, and continues to strive to be a leader focused on driving change.


In this podcast we trace Rich’s career from a start in biology and education, through computer programming and financial systems through to today where he is a senior leader in the third largest health system in Massachusetts.


This is also our 50th interview on the Health Leader Forge! I'm very pleased to have such a distinguished guest to celebrate this milestone.

Links to the Podcast
Soundcloud: 
Abridged: https://soundcloud.com/healthleaderforge/richard-w-silveria-svp-of-finance-and-system-cfo-boston-medical-center-1
Full-length: https://soundcloud.com/healthleaderforge/richard-silveria-svp-of-finance-and-system-cfo-boston-medical-center-full-length
 Stitcher: http://www.stitcher.com/podcast/the-health-leader-forge
iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377
YouTube: https://youtu.be/82VcxLe5xN4

Podcast Outline

Time       Topic
0:01:43 University of Massachusetts at Lowell
0:03:22 Choate Symmes Hospitals
0:04:35 transitioning to IT/financial systems
0:06:08 building home-grown computer-based financial systems
0:07:08 learning financial systems at the transaction level
0:08:09 financial systems manager
0:11:07 "Why don't you get an A in your job"
0:13:24 Lawrence General - financial crisis - building credibility
0:19:09 going from two to fifty employees - lessons in management
0:24:53 why MBA vs. MHA? Commitment to healthcare?
0:27:47 the difference between finance and accounting
0:29:45 moving up from Director of Patient Financial Services to VP of Managed Care
0:34:21 setting up the Lawrence General Physician Hospital Organization
0:35:34 challenges of taking on insurance risk without the tools
0:38:00 moving to Partners Healthcare - what is Partners?
0:41:11 Corporate Director of Revenue Finance
0:45:04 what was it like moving from a $125M organization to a $4B organization?
0:46:58 getting the Partner's job through networking
0:47:55 PT boat vs. a couple of battleships - an influence model, situational hierarchy
0:50:07 learning to listen better, becoming self-aware
0:51:31 Executive Director of the Compass Program - revenue cycle process integration
0:57:57 transition to Boston Medical Center (BMC)
1:02:47 Boston Healthnet affiliaiton
1:06:20 BMC Healthnet Plan/Wellsense - a Medicaid MCO
1:07:52 reporting structure for the CFO of BMC
1:08:40 relationship between the CFO and COO
1:11:50 CFO's staff
1:12:48 financial turn-around in 2010
1:13:23 supplemental dollars and cost shifting (cross-subsidization)
1:19:57 "You would never build this place based on net return on assets"
1:20:27 A day in the life of the CFO
1:23:33 what keeps him up at night - "in a word, uncertainty"
1:26:17 what do most people outside of finance misunderstand about finance?
1:27:12 healthcare finance has evolved to be a strategic asset
1:29:07 what do most people outside of finance misunderstand about finance?
1:31:04 leadership philosophy
1:35:25 what does he look for when hiring leaders?
1:37:14 a difficult leadership lesson learned the hard way
1:39:06 what advice we he give his early careerist self?
1:41:19 the importance of professional organizations
1:42:56 what do early careerists need to learn about finance?
1:44:07 why should young people pursue a career in healthcare finance?


Topics Discussed:










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Saturday, April 15, 2017

Susan DeMarco, Director, Organizational Development, Exeter Health Resources


Today's guest is Susan Clay DeMarco, Director of Organizational Development for Exeter Health Resources. Exeter Health Resources is a healthcare system that includes the Exeter Hospital, a 100-bed community hospital, Core Physicians, a multispecialty physician group, and Rockingham VNA. 

In this podcast, Sue shares how she started in parks and recreation management, making a transition to organizational development and healthcare later in her career. She is a professional coach, certified by the International Coach Federation, and leads Exeter Health Resources' management and leadership development programs, working with individuals and groups within the organization.

Sue is interviewed in this podcast by University of New Hampshire students Carly Barber and Jessica Fucci. 

 

Links to the Podcast
Soundcloud: https://soundcloud.com/healthleaderforge/sue-demarco-director-of-organizational-development-exeter-hospital
Stitcher: http://www.stitcher.com/podcast/the-health-leader-forge
iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377
YouTube: https://youtu.be/ywim4i64X2Q

Podcast Outline

Time         Topic
0:01:34 background and education - parks and recreation, MPA
0:05:49 leadership in outdoor parks, learning HR by doing
0:07:28 healthcare as a second career
0:08:32 what is special about Exeter Hospital
0:10:29 senior education specialist - teaching management skills
0:13:37 what is organizational development (OD)
0:15:10 does every organizaiton have an OD specialist
0:16:04 Why OD?
0:16:56 Talent management and succession planning
0:18:53 favoirte part of being the director of OD
0:19:37 day-to-day responsibilities of the director of OD
0:22:26 working with individuals - coaching
0:24:20 behavioral coaching
0:25:37 new manager training program
0:28:45 onboarding for senior executives
0:34:01 Core Physicians
0:34:44 emotional intelligence
0:37:24 how to improve emotional intelligence
0:40:58 strengths based change and appreciative inquiry
0:43:35 executive coaching
0:47:03 which certifications were most valuable
0:49:58 characteristics of a good OD leader
0:50:56 leadership philosophy
0:52:45 characteristics of a good leader
0:54:06 who did she learn her leadership from
0:56:06 what are the challenges of teaching leadership
0:57:03 leaderhsip lessons the hard way
0:58:05 what does she look for in leaders
0:59:09 what is organizational culture
1:00:51 how do successful leaders shape organizational culture
1:02:06 Sue's mentors
1:04:59 what does a good mentor do
1:06:30 how important are mentors
1:07:05 does she mentor now
1:07:48 professional associations
1:08:52 book recommendation for early careerists
1:09:36 opportunities in organizational development field
1:10:58 advice for early careerists


Topics Discussed:

Exeter Health Resources (Exeter Hospital, Core Physicians)






also of interest:
Kevin Callahan, President and CEO of Exeter Health Resources
Chris Callahan, Vice President, Human Resources, Exeter Health Resources


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Saturday, April 1, 2017

Dr. Skip Homicz, DDS, FAGD, Dental Director, Families First Health and Support Center


Today's guest is Skip Homicz, the Dental Director of Families First in Portsmouth, New Hampshire. Families First is a Federally Qualified Health Center in the seacoast area that provides a range of health care services to all patients, regardless of their ability to pay. Dr. Homicz - a dentist by training - is the Dental Director at the organization. He also serves as a staff dentist as well.

Dr. Homicz is a graduate of Cornell University and Columbia University College of Dental Medicine. He served in the Navy Dental Corps before going into private practice in a small town in New Hampshire. In the early 2000s, he began the dental component of Families First, later serving as the Dental Director and the Director of the oral health component of the homeless outreach program at the center. In 2016, he was awarded the Etherington Award for his achievements in bettering the lives of others through dentistry. 

Also of special note is that this podcast was guest-hosted by Sameer Panesar, a senior at UNH, who was interested in interviewing Dr. Homicz due to Sameer's interest in going to dental school. I talk to Sameer about his takeaway from the interview at the beginning of the podcast. Sameer did a great job with the interview, and I am looking forward to having more students guest host in the future.



Links to the Podcast
Soundcloud: 
Extended version: https://soundcloud.com/healthleaderforge/dr-skip-homicz-dds-director-of-dental-services-families-first
Edited version: https://soundcloud.com/healthleaderforge/dr-skip-homicz-dds-dental-director-families-first-health-and-support-center-edited
Stitcher: http://www.stitcher.com/podcast/the-health-leader-forge
iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377
YouTube: https://youtu.be/9RrTDTCMpbQ

Podcast Outline

(this outline applies to the full length version)

Time      Topic
0:03:20 Biology Undergrad at Cornell

0:05:25 Dentistry School at Columbia
0:07:35 US Navy Dental Corps
0:10:52 identity as a dentist
0:11:41 starting a private practice in Antrim, NH
0:15:08 comparing private practice to military practice
0:16:26 32 years of private practice
0:17:44 being the Monadanock Trustee to the NH Dental Society
0:20:07 coming to Families First as Dental Director
0:22:12 what is a federally qualified health center
0:26:19 comparing private practice to practice in an FQHC
0:30:06 why a dental practice in an FQHC
0:32:13 role of the Dental Director
0:34:35 describing the practice
0:36:41 patient volume
0:37:12 scope of service
0:41:07 financing the practice
0:45:08 why do patients come to Families First for dental care?
0:46:38 homeless program
0:50:28 the New Hampshire Dental Society
0:53:22 responsibilities as chairperson and president
0:55:09 what do people misunderstand about dentistry?
0:57:29 leadership philosophy
0:59:53 characteristics and behaviors of a good leader
1:00:53 what do you look for when hiring a leader
1:01:44 leadership learned the hard way
1:03:38 being mentored
1:07:18 being a mentor
1:09:21 what should early careerists know about dental medicine?

Topics Discussed:

Families First Health and Support Center

New Hampshire Dental Society

US Navy Dental Corps

Columbia College of Dental Medicine



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Wednesday, March 15, 2017

Warren K. West, MBA, FACHE, CEO, North Country Healthcare



Today’s guest is Warren West, the CEO of North Country Healthcare. North Country Healthcare is a newly founded system of four critical access hospitals in the North Country of New Hampshire. North Country Healthcare is a unique system because it does not include a larger community hospital or medical center as an anchor.

Warren started his career in healthcare at the age of sixteen when he became a housekeeper at Children’s Specialized Hospital in New Jersey, a rehabilitation hospital where he would eventually rise to vice president for administration. In this podcast we talk about Warren’s career, about his leadership philosophy, and the challenges of providing comprehensive healthcare in a rural setting in a time of massive change in the healthcare industry.

Links to the Podcast
Soundcloud: 
Extended version: https://soundcloud.com/healthleaderforge/warren-k-west-ceo-north-country-healthcare
Edited version: https://soundcloud.com/healthleaderforge/warren-west-ceo-north-country-healthcare-edited
Stitcher: http://www.stitcher.com/podcast/the-health-leader-forge
iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377
YouTube: https://youtu.be/rEz9dFkyssc

Podcast Outline
(this outline applies to the full length version)

Time         Topic
0:01:40 starting out in housekeeping at Children's Specialized
0:03:10 Public Service Administration at Waynesburg
0:04:01 Switching to Healthcare Administration, MPA at Seton Hall
0:04:53 returning to Children's Specialized Hospital - security guard to intern
0:05:38 about Children's Specialized Hospital
0:06:37 transition to Assistant Administrator, Children's Specialized Hospital
0:08:30 VP of Administration, decision to leave Children's 
0:09:10 recruited by Healthsouth to be CEO of HealthSouth Meridian Point Rehabilitation Hospital
0:09:52 for-profit vs. not-for-profit healthcare
0:12:04 the transition to CEO
0:13:00 Vice President-Rehabilitation, Neurosciences and Occupational Health Services, Saint Barnabas Healthcare System 
0:14:24 setting goals - personal and professional
0:17:30 President and CEO of Copley Hospital and Health System - lessons learned up till then
0:19:01 challenges at Copley
0:21:16 converting Copley to Critical Access status
0:23:10 Federally Qualified Health Clinic look-alike status 
0:25:51 President and CEO of Littleton Regional Healthcare
0:29:50 the impact of geography on Copley vs. Littleton Regional
0:32:45 Certification of Need (CON) programs
0:36:27 coming in at the top - senior leadership transitions
0:39:08 challenges when taking over Littleton Regional
0:43:30 financing growth - getting access to capital
0:44:26 being the leader of the largest not-for-profit in the region
0:45:24 how does the CEO and the hospital interact with the business community
0:46:34 focus on population health and risk contracting 
0:48:23 North Country Healthcare
0:50:07 the benefit of the affiliation - size, scale, quality
0:51:54 risk based contracting
0:53:09 the genesis of North Country Healthcare
0:55:28 who were the major stakeholders that had to buy in
0:56:12 transition to CEO of North Country Healthcare
0:57:04 board structure of North Country Healthcare and its affiliates
0:59:24 System CEO to hospital presidents
1:00:32 system level efficiencies
1:01:22 ACO participation and "Community Care Organization" or "CCO"
1:04:42 being a fellow of the American College of Healthcare Executives
1:06:18 leadership philosophy
1:07:33 characteristics of a good leader - no "carpet administrators"
1:08:59 leadership lessons learned the hard way
1:10:14 the time limit on leadership
1:10:59 what he looks for in a leader
1:12:31 what does it mean to be a mentor
1:14:31 what does a good mentor do
1:15:21 book recommendation for early careerists
1:15:56 why healthcare administration?


Topics Discussed:

North Country Healthcare

Littleton Regional Healthcare

Copley Hospital

Health Center Program Look-Alikes

Saint Barnabas HealthcareSystem

HealthSouth Meridian PointRehabilitation Hospital

Children's SpecializedHospital

FarleighDickinson University MBA

Seton Hall MPA, Health Care Administration

Waynesburg College



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Wednesday, March 1, 2017

Brigadier General Jeffrey J. Johnson, Commander, Brooke Army Medical Center


Today’s guest is Brigadier General Jeffrey J. Johnson, the commanding general of Brooke Army Medical Center in San Antonio, Texas. Brooke Army Medical Center (BAMC) serves as the largest and most robust military healthcare organization within the Department of Defense (DOD). Both inpatient and outpatient services are provided by approximately 8,500 staff members, including active duty military personnel from each of the uniformed services, federal civilian employees and contractors. Brooke is a Level I Trauma center, and includes a forty bed burn center. It is also a hub for graduate medical education, with more than 30 graduate medical education programs.

General Johnson is a board certified family medicine physician and has served in and commanded a wide range of units, from traditional clinics and hospitals to Special Forces units and the legendary 82nd Airborne, and has deployed in support of the Army’s missions around the world. 

Links to the Podcast
Soundcloud: 
Extended version: https://soundcloud.com/healthleaderforge/brig-gen-jeffrey-j-johnson-commander-brooke-army-medical-center
Edited version: https://soundcloud.com/healthleaderforge/bg-jeffrey-j-johnson-commander-brooke-army-medical-center
Stitcher: http://www.stitcher.com/podcast/the-health-leader-forge
iTunes: https://itunes.apple.com/us/podcast/healthleaderforge/id981989377
YouTube:  https://youtu.be/f3CE_P6h1OE

Podcast Outline (this timeline refers to the extended version)


Time       Topic 
0:01:55 Evangel university, ROTC
0:05:15 medical School at U of CO Health Sciences Center
0:06:03 what was surprising about medical school
0:07:11 clinical stereotypes - cultures of specialties
0:08:07 confirming his interest in primary care
0:09:10 keeping options open 
0:10:05 Family Medicine residency at Madigan Army Medical Center
0:12:28 Family Medicine vs. Internal Medicine
0:13:08 Why Madigan?
0:14:23 the physician identity
0:16:32 Clinic Command
0:19:17 lessons learned from first command
0:20:09 support from higher command
0:21:27 battalion and group surgeon, 7th Special Forces
0:25:53 observations of healthcare delivery in deveoping countries
0:26:46 director of resident training for Family Medicine
0:28:03 how did prior experience prepare him to run a residency program
0:29:53 life-long learning
0:31:24 challenges and enjoyment of the residency director role
0:33:44 making the decision to continue in the military
0:35:51 division surgeon for 82nd Airborne
0:37:42 comparing roles at 82nd and 7th
0:38:55 combined command surgeon in Baghram, Afghanistan
0:42:36 working with Afghan allies and the Afghan medical system
0:44:12 Commander (CEO) of Irwin Community Hospital
0:45:19 the complexity of the CEO role - comfort with not knowing everything
0:48:29 developing the organization's vision
0:51:15 advisor role in Saudi Arabia
0:53:52 44th Medical Brigade
0:55:50 Office of The Army Surgeon General 
0:57:26 Surgeon, Korea
0:58:20 Brooke Army Medical Center
0:59:45 the difference between an Army Community Hospital and an Army Medical Center
1:00:53 organizational transitions and coming in as the senior leader
1:03:52 senior staff of the organization
1:06:55 the advantages and challenges of having a physician as commander
1:09:13 leadership philosophy
1:11:39 characteristics and behaviors of a good leader - servant leadership
1:13:17 mentorship
1:15:15 advice to early careerists about leadership


Links to topics discussed:


Brooke Army Medical Center


44th Medical Brigade

Irwin Army Community Hospital
Faculty Development at the University of North Carolina-Chapel Hill


Madigan Army Medical Center Family Medicine Residency Program


University of Colorado Health Sciences


Evangel University





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