Study Information |
Study Code:10001 |
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Site Information |
Mailing Address: 1234 Main Street, New Hope, MN 55428-3623 |
Phone: 763-404-1443 |
Fax: 763-553-9796 |
Email: abccompany@somewhere.com |
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Subject Information |
Screening ID: 100001 |
Randomization ID: 123456 |
Accession ID: 888888 |
Initials: AAA |
DOB: 12-Nov-1973 |
Gender: Male |
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