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Linfomas Argentina (ACLA)
Cuestionario para pacientes que se tratan en Argentina.
Queremos saber de vos, cuál es tu diagnóstico y cómo lo estas llevando.
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Email
*
Your email
Nombre
Your answer
Teléfono de contacto
*
Your answer
Lugar de residencia
*
Your answer
Sexo
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Femenino
Masculino
Otro (especificar)
Edad
*
de 15 a 30 años
de 30 a 50 años
mas de 50 años
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