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This page can either be completed online or printed, completed and mailed to:
Theresa L. Hartsell, M.D., Ph.D.
Assistant Professor, Anesthesia and Nursing
Director, Multidisciplinary Surgical Critical Care Fellowship
Co-Director, Weinberg Surgical Intensive Care Unit
Faculty Head, Vivien Thomas Academic / Advisory College
The Johns Hopkins Medical Institutions
600 N. Wolfe St. Meyer 291
Baltimore, MD 21287
410-955-9080 (office)
410-955-8978 (fax)
410-283-8671 (pager)
thartsel@jhmi.edu
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