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DATOS PERSONALES
DNI o pasaporte: 
84
CUIL: 
51
INFORMACIÓN DE CONTACTO
Teléfono celular: 
32
País: 
India
INFORMACIÓN PROFESIONAL Y DE TRABAJO
Profesión: 
65
Años de experiencia profesional: 
76
Nivel educativo: 
Doctorado
¿Usted trabaja en una institución dependiente del Ministerio de Salud de la Nación?: 
Usted es:: 
Otro
Institución dependiente del Ministerio de Salud de la Nación: 
Hospital Nacional "Prof. Alejandro Posadas"
Categoría: 
87
Nivel de grado: 
61
Situación de revista: 
24
Cargo Actual: 
47
Responsabilidades del cargo en relación a los objetivos del curso: 
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Email primario: 
Estado/Provincia: 
77
OTROS DATOS
¿Ha realizado algún curso con modalidad virtual?: 
¿Ha participado de otros cursos del CVSP?: 
Especifique los cursos y el año: 
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¿Cuáles son sus expectativas para este curso?: 
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Otros datos o comentarios que desee agregar: 
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Ciudad: 
79
Email secundario: 
Dirección: 
87
Institución en donde labora: 
90
Departamento o Dependencia: 
90
Breve Resumen del CV (Curriculum Vitae): 
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Tipo de Institución: 
MINSA
Región de salud donde ejerce: 
San Miguelito
Género: 
M
Jurisdicción donde desempeña su labor: 
Mendoza