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Name
First Name
Last Name
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2
Email
example@example.com
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3
Are you a nurse (LPN/RN/NP) or other licensed medical professional (Physician, PA, physical therapist, occupational therapist, clinical social worker, speech-language pathologist, pharmacist, podiatrist, or psychologist)?
YES
NO
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4
Please list your current job and title.
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5
Will you be joining the Canna Wise Nurses team LIVE at 8pm EST on January 17, 2025?
YES, I'll be there!
NO
NO, but e-mail me the recording.
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6
SEE YOU ALL LIVE JANUARY 17th!
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