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DATOS PERSONALES
DNI o pasaporte: 
58
CUIL: 
59
INFORMACIÓN DE CONTACTO
Teléfono celular: 
42
País: 
Bulgaria
INFORMACIÓN PROFESIONAL Y DE TRABAJO
Profesión: 
40
Años de experiencia profesional: 
71
Nivel educativo: 
Universitario
¿Usted trabaja en una institución dependiente del Ministerio de Salud de la Nación?: 
No
Usted es:: 
Otro
Institución dependiente del Ministerio de Salud de la Nación: 
Hospital SAMIC de Alta Complejidad en Red El Cruce - "Dr. Néstor Carlos Kirchner"
Categoría: 
92
Nivel de grado: 
38
Situación de revista: 
28
Cargo Actual: 
22
Responsabilidades del cargo en relación a los objetivos del curso: 
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Email primario: 
Estado/Provincia: 
18
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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Otros datos o comentarios que desee agregar: 
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Ciudad: 
36
Email secundario: 
Dirección: 
44
Institución en donde labora: 
17
Departamento o Dependencia: 
45
Breve Resumen del CV (Curriculum Vitae): 
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Tipo de Institución: 
Proveedor de salud público
Región de salud donde ejerce: 
Panamá Metro
Género: 
M
Jurisdicción donde desempeña su labor: 
Misiones