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Appointment Data
Additional Info
Appointment Data
Schedule
*
Atendimento Presencial/Online
Service
*
Consulta/Atendimento - R$ 250.00
Consulta/Atendimento (Online) - R$ 150.00
Event Type
*
Video Conference
In-Person
Day
*
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Time
*
Additional Information
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Additional Info
Full Name
*
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E-mail
*
Individual Taxpayer Identification Number (CPF)
*
Phone
*
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