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Obligatory disclaimer: Dr. Spangler is licensed to practice medicine in the state of California. She will not respond to requests for medical advice. Current patients, please call the clinic or use the patient portal for non-urgent medical needs. This site is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this site or materials linked from this site is at the user’s own risk. The content of this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their health care professionals for any such conditions.