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* Indicates required question
Nom Prénom
*
Your answer
Statut professionnel
*
interne
chef de clinique
installé en privé ou à l'hopital
Required
Prénom de l'accompagnant
Your answer
email
*
Your answer
Adresse
*
Your answer
Mobile
*
Your answer
Je m'engage à assister au face à face des machines du samedi de 9h à 12:30
*
oui
non
Required
Je m'engage à soumettre une publication ou à remplir au moins 40 nouveaux cas de DR (pour internes/chefs de clinique)
oui
non
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