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* First Name
* Last Name
* Where do you currently work?l (Optional)

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YOUR PROFILE PICTURE

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YOUR PROFILE

* City
* State
* Zip Code
* Education, please describe
* Licensed or Registered Nurse (choose one)
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UPLOAD PHOTO

DEFAULT PHOTO. IF A NURSE DOESNT WANT TO ADD A PHOTO. THIS WILL BE A PLACEHOLDER

IF YOU HOVER OVER THE IMAGE YOU WILL SEE A DEFAULT IMAGE FOR A MALE AND FEMALE

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