Update OMI Alumni Contact Information

Update OMI Alumni Contact Information

The NM Office of the Medical Investigator values all former faculty, staff, students and trainees.

We’d love to keep you updated on events and news. If you’d like to stay in touch, please share the following information, and we’ll keep you in the loop. If you have any questions or would prefer to update your records by phone, or email, contact Anthony Cervantes Ph: 505-925-6650 Email: acervantes@salud.unm.edu

Last Name*

First Name*

Education

(MD, DO, BS, BA, MBA, etc.)

Address Line 1

Address Line 2

City

State/Province

Postal Code

HM/Other Phone

Mobile Phone

Email

Business email

Former OMI Position(s)/Title(s)

Current Employer

Current Employer Address

Current Job Title

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