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WEBINAR AIP - LA RETE TRAUMATOLOGICA PIEMONTESE E IL TRAUMA ADDOMINO-PELVICO
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Registration
WEBINAR AIP - LA RETE TRAUMATOLOGICA PIEMONTESE E IL TRAUMA ADDOMINO-PELVICO
Dalle ore 17.00 alle ore 19.00
1.
Personal Data
Last Name*
First Name*
Date of Birth
Place of Birth
Address*
N.*
City*
Postal Code*
Province*
Telephone Number
Mobile Number*
E-mail*
Institute/Hospital
Occupation
Discipline
2.
Type of registration
3.
Additional Services
4.
Hotel Accommodation
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