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IX Curso Taller: RCP Avanzado
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Email
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Nombres
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Apellido Paterno
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Apellido Materno
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CMP
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DNI
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Teléfono
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Nro. resolución SISTCERE del certificado del Curso taller de RCP básico, CRIII-Lima del CMP (requisito obligatorio)
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Fecha de nacimiento
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Universidad de pre-grado
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