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  Add Doctor Profile (UBTH Doctors)
Membership Information
Username: *
Password: * Minimum of 6 characters
Confirm Password: *
Email Address:
@ubth.org emails only *


Other Information
First Name: *
Last Name: *
Other Name(s): *
Gender: *
Practice Address: *
Contact Phone: * Sample: +234-8011111111
Office Hours: *
Accepting New Patients? Yes    No *
Specialty: *
Language(s) Spoken: *
Education: *
Ongoing Research: *
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University of Benin Teaching Hospital,
Nigeria.

info@ubth.org

www.ubth.org