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That problem is exacerbated as the state keeps more prisoners longer at such regional facilities to alleviate its overcrowding problems.
The state's major airport, Will Rogers World Airport, is located in Oklahoma City; regional facilities are in Lawton and Tulsa.
Charlottetown and other communities benefit from the Prince Edward Island Museum and Heritage Foundation, with its network of regional facilities and cultural programs.
Some have suggested embedding healthcare services within communities themselves – rather than investing solely in regional facilities – is the best way to ensure quality services reach remote and underserved groups.
"When you're selling books and hammers and TV's and Walkmans and stuff like that, you can get a book or a Walkman to a customer faster and less expensively with a set of regional facilities," Mr. Curry said.
The expanding suburban market has accelerated the pace of consolidation, because unlike their competitors, the chains can offer members the choice of a workout in any of dozens of regional facilities.
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University Hospital in Stony Brook is a large, state-run regional facility.
But building a regional facility is not always easy.
Today, it is a three-story regional facility called Gitwe Hospital.
Normally, there are 10 air traffic controllers at a regional facility handling arrivals for Los Angeles International Airport.
It was the first anthrax found in a New Jersey building since anthrax was discovered at the regional facility in Hamilton Township.
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