R e g i
s t r a t i o n
|
We are very please to welcome you
join PIR Kaltim 2017.
1. Please fill in REGISTRATION FORM next
to this page
2. Please made your registration payment
to:
BANK SYARIAH MANDIRI
KCP BALIKPAPAN BARU
c/o. Perhimpunan Dokter Paru Indonesia
Acc No. 68 888 999 93
3. Confirming your payment by sending
registration form and copy of bank transfer by fax, postal or email with
attention to:
Ms Ella or Ms Widi or Marissa, MD
Pulmonary Clinic
Kanujoso Djatiwibowo Hospital
Address: MT Haryono 656, Balikpapan 76126
Phone: +62-542-873-901 ext 1114
Mobile phone:
· Ella +62-8125-4730-602
· Widi +62-8522-5009-444
· Marissa +62-8138-6700-771
Fax: +62-542-873-836
Registration: DOWNLOAD
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