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INSCRIPCIÓN "Clases de Tango" 2023

There are 8 questions in this survey.
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Nombre y Apellido
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Teléfono de contacto:
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Mail de contacto: 
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¿Es médico/a?
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Matrícula:
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¿Es Agremiado/a?
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Cuál es su especialidad: 
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Seleccione sus lugares de trabajo (puede elegir màs de una opción):