<table><tr><th>From:</th><th>Lamster, Ira B. &lt;ibl1@cumc.columbia.edu&gt;</th></tr><tr><td>Sent:</td><td>Tuesday, August 20, 2013 10:18 PM</td></tr><tr><td>To:</td><td>Jeffrey Epstein</td></tr><tr><td>Subject:</td><td>Thanks</td></tr></table>

I appreciate the advice, and that you took the time to speak with me yester=ay. You were definitive, and that was important. Enjoy the ranch.

Ira

Ira B. Lamster, DDS, MMSc
Professor, Department of Health Policy & Management Mailman School of Public Health Dean Emeritus College of
Dental Medicine Columbia University
722 West 168th Street, Room 938
New York, NY 10032
212-305-1773
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