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Notifique Aqui
ESPOROTRICOSE
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IDENTIFICAÇÃO DO NOTIFICANTE
1) UNIDADE NOTIFICANTE
*
CJV
CCZ
Hospital/Clínica Pública
Hospital/Clínica Particular
Médico Autônomo
Other:
2)
IDENTIFICAÇÃO DO NOTIFICADOR
*
MÉDICO VETERINÁRIO
RESPONSÁVEL PELO ANIMAL
OUTRO PROFISSIONAL DE SAÚDE
Other:
3) TELEFONE DO NOTIFICADOR
*
Your answer
4) NOME COMPLETO DO NOTIFICADOR
*
Your answer
5) e-mail DO NOTIFICADOR
*
Your answer
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