This guy has rejoined the 4DMedical team based in Minnesota
He has experience with the VA from his previous role, including presentation to the VA and a contract his previous organisation had with one or more VA Medical Centre (Minnesota)
Not sure if it was to fill this role or is a different role (Clujical Specialist in USA) as he has PACS Solutions Architect
https://4dmedical.bamboohr.com/careers/73?source=aWQ9MjI=
In any case, together these indicate expectations of increased US implementations at customer site coming up.
Research, page-2238
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