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DATOS PERSONALES
DNI o pasaporte: 
57
CUIL: 
82
INFORMACIÓN DE CONTACTO
Teléfono celular: 
73
País: 
French Guiana
INFORMACIÓN PROFESIONAL Y DE TRABAJO
Profesión: 
94
Años de experiencia profesional: 
34
Nivel educativo: 
Doctorado
¿Usted trabaja en una institución dependiente del Ministerio de Salud de la Nación?: 
Usted es:: 
Jefe de residentes
Institución dependiente del Ministerio de Salud de la Nación: 
Hospital SAMIC de Alta Complejidad en Red El Cruce - "Dr. Néstor Carlos Kirchner"
Categoría: 
11
Nivel de grado: 
40
Situación de revista: 
94
Cargo Actual: 
92
Responsabilidades del cargo en relación a los objetivos del curso: 
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Email primario: 
Estado/Provincia: 
34
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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¿Cómo se enteró del curso?: 
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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: 
11
Email secundario: 
Dirección: 
62
Institución en donde labora: 
26
Departamento o Dependencia: 
19
Breve Resumen del CV (Curriculum Vitae): 
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Tipo de Institución: 
CSS
Región de salud donde ejerce: 
Comarca Ngöbe-Buglé
Género: 
F
Jurisdicción donde desempeña su labor: 
CABA