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Dr. Laura Meritt
(512) 425-3855
Dr. Melanie A. Collins
(512) 425-3855
Dr. Sherry L. Neyman
(512) 425-3875
Dr. Laurette N. Smith
(512) 425-3835
Dr. Tara A. Mills
(512) 425-3895
Dr. Farnaz Jahangiri
(512) 425-3895
Dr. Devin M. Garza Dr. Kimberly Loar
(512) 425-3835 (512) 425-3835
Dr. Byron G. Darby
(512) 425-3885
Dr. Linda J. Litzinger
(512) 425-3835
Business Office
(512) 339-6626
Class:
Childbirth Refresher Class
Instructor:
Leigh Careccia, RN
Location:
RWG Office, Suite 205
Contact Information:
Leigh Careccia
lcareccia@rwgdocs.com
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Full Name:
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Email Address:
Phone Number:
*
Alt Phone Number:
Address:
Coach's Name:
Instructor:
Michele Hackney
Doctor:
Due Date:
*
Class Date:
Questions / Comments:
PLEASE PRINT THIS SCREEN BEFORE YOU PRESS THE SUBMIT BUTTON. SEND A COPY OF THIS REGISTRATION FORM ALONG WITH YOUR PAYMENT TO YOUR INSTRUCTOR!
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