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Preinscripción a los Campamentos de Verano de la Asociación para la Diabetes de Córdoba 2024
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Nombre y Apellidos del niño o niña
*
Your answer
Fecha de Nacimiento
*
MM
/
DD
/
YYYY
Hospital de referencia
Your answer
Fecha del Debut en Diabetes
*
MM
/
DD
/
YYYY
¿Usa sensor?
*
SI
NO
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