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XIII CONGRESO REGIONAL DE CIRUGÍA
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Nombre (Name)*
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Apellidos (Last name)
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Cédula de Identidad (ID Card)
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Correo electrónico (Email)
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Teléfono (Telephone)
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Lugar de Trabajo/Hospital (Workplace / Hospital)
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País (Country)
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Dirección (Address)
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Categoria de Inscripción (Enrollment Category)
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Estudiante
Licenciados/as
Médico NO Socio
Médico Socio al Día
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