Destination: San
Pedro Sula, Honduras
Home ::
2005 schedule
DOWNLOAD
MEMBER PACKAGE
Specialty:
Plastic-Hand
Surgery
Team Leader: Grant
Thompson, MD |
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Dates:
April 30-May
8
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Sponsor:
Ruth
Paz
Foundation |
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Updates: |
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Site Contact
Info.: Hospital
Leonardo
Martinez
Hotel Info:
Copantl
See below
for flight
information |
Click on any
Team member
name in blue
to send an
e-mail |
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Administrative
Contact:
|
Email entire
team |
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Participants: |
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Surgery |
License to Practice |
Credit
Card
# |
Curriculum
Vitae
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Medical Credentials |
Health
Form
|
Signed
Release |
Passport Info |
2005 Dues |
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Grant
Thompson
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in
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in
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in
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in
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in
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in
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in
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in
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Sohel
Islam
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in
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in
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in
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in
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in
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in
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in
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in
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John
Safanda
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in
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in
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in
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in
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in
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in
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in
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in
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Kevin
Tomany
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in
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n/a
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in
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in
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in
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in
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in
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pd
4/05
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Steven
Williams
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n/a
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in
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in
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in
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in
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in
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in
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pd
4/05
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Pediatrics |
License to Practice |
Credit Card # |
Curriculum
Vitae
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Medical Credentials |
Health
Form
|
Signed
Release |
Passport Info |
2005 Dues |
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Robert
Golenback
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in
|
in
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in
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in
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in
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in
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in
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pd
3/05
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Anesthesiology |
License to Practice |
Credit Card # |
Curriculum
Vitae
|
Medical Credentials |
Health
Form
|
Signed
Release |
Passport Info |
2005 Dues |
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Robert
Stout
|
in
|
in
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in
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in
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in
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in
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in
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in
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Irena
Vaitkeviciute
|
in
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n/a
|
in
|
in
|
in
|
in
|
in
|
pd
4/05
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Marbelia
Gonzalez
|
in
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n/a
|
in
|
in
|
in
|
in
|
in
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pd
9/04
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Giancarlo
Checa
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n/a
|
in
|
in
|
in
|
in
|
in
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in
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pd
3/05
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Nursing/OR Techs/Other |
License to Practice |
Credit Card # |
Curriculum Vitae |
Medical Credentials |
Health
Form
|
Signed
Release |
Passport Info |
2005 Dues |
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John
Tangredi
|
in
|
in
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in
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in
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in
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in
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in
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in
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Amy
Schmaelzle
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in
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in
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in
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in
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in
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in
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in
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in
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Lori
Ryder
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in
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in
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in
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in
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in
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in
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in
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in
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Kimberly
Rebucci
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in
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in
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in
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in
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in
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in
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in
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in
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Brenda
Hunt
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in
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in
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in
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in
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in
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in
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in
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in
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Kathleen
Jacobsen,
PT
|
in
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in
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in
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in
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in
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in
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in
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in
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Karla
Papenfuss,
PT
|
in
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in
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in
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in
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in
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in
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in
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in
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Jose
Zeballos,
Med.
Student
|
n/a
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in
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in
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in
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in
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in
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in
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pd
4/05
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Administration |
License to Practice |
Credit Card # |
Curriculum
Vitae
|
Medical Credentials |
Health
Form
|
Signed
Release |
Passport Info |
2005 Dues |
|
Jean
Hatcherson
|
n/a
|
n/a
|
in
|
n/a
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in
|
in
|
in
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pd
12/04
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Shelley
Cruz,
Translator
|
n/a
|
in
|
in
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n/a
|
in
|
in
|
in
|
in
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Notice: Flight
Information: Saturday
April 30th AA Flight
2297 Lv
Hartford 6:00
AM
AA Flight
941
Lv
Miami
1:01 PM
Return
Sunday
May 8th
AA Flight
942
Lv San Pedro Sula
2:22 PM
AA Flight 1794
Lv
Miami
8:03 PM
Ar Hartford 11:00 PM
Note: some Team
Members are flying
separately
Fax Forms to HTC
at 860-350-6634
Mail Forms to HTC at
P.O. Box 129, New
Milford, CT 06776
E-mail to mlaw@htcne.org |
