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["附件4："]
["潞州区在岗乡村医生参加社会保险申报人员名单"]
["乡镇卫生院（社区卫生服务中心）：                  （盖章）                                     填报日期：  年 月 日"]
["序号","姓名","性别","出生年月","身份证号","政治面貌","学历","联系电话","所在村卫生室","执业资格","执业证书编号","备注"]