Precision Medicine Japan

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This account can be used in the following sites.

Bn familial2

Bn familial2

Bn pathology3

Bn pathology3

Signup form

Account ID*

Full Name*

Phone number*

e-mail address*

e-mail address(confirmation)*

Gender*

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Birthday*

Year Month Day

Alma Mater*

The year of graduation*

Year

Clinical Departments(not in the list)

Other Job Category*

Information of introducer*

Hospital name of introducer：

Introducer's name：

Clinical Departments of introducer：

Registered year of license*

Year

Hospital name*

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Address*

Phone number*

Departments*

subject of medical treatment

Position

Number of hospital bed

Number of patient(per Annual)

people

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