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Nomination Form
aspndevelop
2021-05-12T18:23:55-05:00
ASPN Rising Leaders Webinar
Perspectives from the Future Leaders in Pain and Neuroscience Nomination Form
Nominee Name
*
PGY Year and Position
*
Training Program
*
Board Position(s)
*
Brief Statement
*
Please upload your CV
*
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ASPN Rising Leaders Webinar
Perspectives from the Future Leaders in Pain and Neuroscience Nomination Form
Nominee Name
*
PGY Year and Position
*
Training Program
*
Board Position(s)
*
Brief Statement
*
Please upload your CV
*
Choose File
Thank you for your message. It has been sent.
×
There was an error trying to send your message. Please try again later.
×
Send Nomination
Moderators
Timothy Deer, MD
President Emeritus, Founder and Chairman
Dawood Sayed, MD
President and Co-Founder
Erika A. Petersen, MD, FAANS, FACS
Executive Board
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