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I can tell you for sure, Sj is expensive and lately very unsuccesfully-somehow has name in the market, dont know how. recommend siskind, Murthy, Zhang. These do more detailed, thorough and personalized work. Also Schustermann in CA.

Caution physicians with speciality training in one or more specialities- the firm metioned above will encourage you with 90% or more chances of success, reality is much different, people are getting tons or denials with or without rfe, especially physicians. Templated letters and cover letters...