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全方位2020冬季班 *新增台中班*
************ 課表日期/地點出來後再公告在網站上 **************
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Email
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性別(方便安排座位)
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男
女
班別
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台北周日班 (18:50~22:00)
台北周三班 (08:50~12:00)
台中周四班 (08:10~11:20)
診所名稱
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診所地址
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醫師姓名
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醫師英文名 (證書用)
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身分證字號(登入學分/網站用)
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電話(公司)
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電話(手機)
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畢業學校
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LINE ID
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