Vendredi 15 juin 2018, de 16 h 00 à 17 h 30
Friday, June 15, 2018, from 4:00 - 5:30 PM

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* 1. Nom / Surname

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* 2. Prénom / First Name

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* 3. Désignation / Designation

M.D.

Autre / Other

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* 4. Institution

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* 5. Ville, Province / City, Province

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* 6. Courriel / Email