Tri Cities Pain Conference Registration Form 26: Submission #1444

First Name: Michael
Last Name: Oglesbay
Email: ebru@thehormonedr.com
Degree: D.O.
Specialty: Hospice and Palliative Care
Clinic/Organization: {Empty}
Conference Format: {Empty}
Address: 6559 N Rude St
City: Dalton Gardens, ID 83815
State: Idaho
Zip: 83815
Phone: 2086201625
Payment:  Card payment
Conference type: Complete Conference
Thursday: {Empty}
Friday: Virtual
Saturday: Virtual
Notes: {Empty}
anet_transaction_reference: ref1763251668
anet_payment_status: pending
Ammount: 415
Registration code: tripain26
Title: Tri Cities Pain Conference 26
Receipt: http://www.russocme.com/webform/paid_conference_registration/submissions/3686/attachment/receipt/receipt.pdf
Payment Note: RussoCME
935 SE High St
Pullman, WA 99163
Invoice number: tripain26_1763251628
Tax: {Empty}
Base amount: {Empty}
Taxed Amount: {Empty}
Total Days: {Empty}
Recording Days: {Empty}
Non Recording Days: {Empty}
Per Day Amount: {Empty}
Tax Percentage: {Empty}