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Provider Registration Request



 You Have A New Provider Signup Request To Review!

Hello Administrator,

Great news {{providerName}} has requested to signup as a provider on the Likita platform

Name of Provider: {{providerName}}

Provider Type : {{type}}
Address Line1: {{line1}}

Address Line2: {{line2}}

City: {{city}}

State: {{state}}

Country : {{country}}

Administrator First Name : {{adminFirstname}}

Administrator Last Name : {{adminLastname}}

Administrator Email: {{adminEmail}}

Administrator Telephone: {{adminTel}}

Please review the provider and admin details to ensure there are no issues/conflicts.

If there are are no issues/conflicts please accept the request :

ACCEPT REQUEST

To contact the provider administrator via email  to resolve an issue or conflict please click here:

EMAIL PROVIDER

To deny the signup request  please click here:

DENY REQUEST

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Our mailing address is:
administrator@likita.org


 

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