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Importance of Academic Letter of Recomendation

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I am looking to apply this upcoming cycle but have a bit of an issue regarding having an academic LOR. I got my prerequisite classes done over three years ago and regretfully was not thinking of getting recommendations at the time. I have been working as a medical assistant since then and have several PAs and Doctors who would be willing to give me solid LORs, but none of them come from an academic setting. I am worried my lack of an academic letter will ruin my chances even if I try to compensate with other recommendations. 

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