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E-mail (Required)
Briefly describe:
A. Your organization and medical group
B. Your interest in joining GPIN and how it will benefit your group
C. The contributions your group will make to the Network if accepted
1 Ford Place, 3A • Detroit, Michigan 48202
Phone: (313) 874-GPIN (4746) Fax: (313) 874-4389 e-mail:
info@gpin.org
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