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I have the following suggestions / commentaries:
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Title |
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First
name and surname |
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Street
and number |
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Postal
code and place |
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Telephone
(incl. area code) |
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Telefax
(incl. area code) |
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Mobiltelefon |
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Email |
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| I became aware of the hospital MIC Klinik Berlin, through… |
An article in... |
A patient who received treatment in the hospital |
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| The internet |
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