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CME Registration



Neuro:Geisinger Comparative Effectiveness Research and Policy Conference

November 14, 2013
Registration Fee: $125 - All
$50 - Resident
Registration Deadline: Thursday, November 14, 2013


First Name:

Last Name:

eMail Address:

Employee ID:

ACPE now requires that the pharmacist and pharmacist tech list their ePID number and birth date.

ePID:

Pharmacist DOB:

Address Line 1:

Address Line 2:

Town:

State:

Zip:

Place of Employment:

Degree:

Day Phone Number:

GHS Mail Code:

RN:

nonRN:






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