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* 1. Your Name:

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* 2. Organization Name:

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* 3. Contact Information:

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* 5. Website:

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* 6. Submission:

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* 7. Organization Type:

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* 8. Technology or Service Name:

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* 9. Type of Technology or Service:

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* 10. Brief Description:
(Note: Email supplemental information to TECprojects@onemillionsolutionsinhealth.org)

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