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alabama society of physician assistants

representing the PA profession in Alabama

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ASPA Student Membership Application

First name

Last name

Email

Address

City

PA Program *

Faulkner University

Samford University

University of Alabama at Birmingham

University of South Alabama

Graduation Date (month & year)

State

Zip

Check your email for acknowledgement that your application was received.

PO Box 1900 | Montgomery, AL 36102-1900

334.954.2575

© 2024 Alabama Society of Physician Assistants

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