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<PAGE> 1 EXHIBIT 1 [LETTERHEAD OF MARLIN & EDMONDSON] May 4, 2000 Securities & Exchange Commission Mail Stop 9-5 450 5th Street, N.W. Washington, D.C. 20549 Dear Sirs/ Madams: We have read and agree with the comments in Item 4 of Form 8-K of Birman Managed Care, Inc. dated May 4, 2000. Very truly yours, /s/ Marlin & Edmondson Marlin & Edmondson 4
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