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American Board of Cardiovascular Perfusion 2903 Arlington Loop Hattiesburg MS 39401 601 268-2221 Fax 601 268-2229 Email abcp abcp.org Simulation Center Case Verification and Evaluation Form Participant s Information Participant s Name and ABCP Date of Simulation Exercise Simulation Instructor s Name Facilitator s ABCP Facilitator s Work Email Address ABCP-Recognized Center where activity occurred The University of Pittsburg Medical Center UPMC /Procirca Simulation Center The Biomed Simulation...
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