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To open a new account  Follow these steps:

1-Download the forms:

   New Account Form
   CPEPA Form


2-Complete, sign and fax forms. Please include your practitioner’s license (and business license if required) to (407) 445-0204

3- New Accounts are typically processed the same day they are received. A XYMOGEN® Customer Service Representative will call you to confirm your account has been set up. At that time orders may be placed. If you do not receive a call within 24 hours feel free to contact us at: (800) 647-6100 to check your New Account status. Our office hours are 9:00am to 6:00pm EST.
 
 
   
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XYMOGEN
®
Exclusive Professional Formulas
725 S. Kirkman Rd, Orlando, FL 32811
800-647-6100
 
*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

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