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120 Tor bay Road, Suite W100 St. Johns, NL A1A 2G8 T: (709) 7268546 F: (709) 7264725 E: cpsnl@cpsnl.caREQUEST FORM FOR INCLUSION ON ATLANTIC REGISTRY I, a physician currently licensed with the College
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Anyone who wishes to opt-in to the Atlantic Registry and provide their details for registration purposes.
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Individuals or businesses looking to join the Atlantic Registry database.
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It is a form used to opt-in to the Atlantic registry.
Individuals or entities who wish to be included in the Atlantic registry.
The form can be filled out online or downloaded and submitted manually with the required information.
The purpose is to authorize inclusion in the Atlantic registry for a specific purpose.
Personal or entity information as required by the form.
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