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Five patients from the Canadian province of Manitoba have been sent to have spine surgery at Sanford Medical Center in Fargo, N.D., but the initiative is moving too slow for some Canadian critics, the Winnipeg Sun reported March 14. 

The Center for Neurosciences, Orthopaedics & Spine in Dakota Dunes, S.D., and Sioux City, S.D.-based Tri-State Specialists have consolidated under the CNOS name, The Sioux City Journal reported March 14.

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