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EXHIBIT REGISTRATION FORM
39th Annual Dr. John C. Weed Resident Research Seminar
6/9/2023
Ochsner Baptist, Patrick F Taylor Auditorium, 2700 Napoleon Ave, New Orleans, LA
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Breakfast (Food & Beverage Expense)
Lunch (Food & Beverage Expense)
NO ELECTRONIC or ACH PAYMENT CAN BE ACCEPTED FOR THIS EVENT
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Make checks payable to Ochsner Clinic Foundation - Tax ID #72-0502505
Mail to: Ochsner Clinic Foundation Continuing Medical Education
Attention: Katie Guillot
1401A Jefferson Highway New Orleans, LA 70121
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