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        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>DIREF ENCHANCES CROSS-CULTURAL UNDERSTANDING, DEVELOPS CONTACTS, AND OPENS CHANNELS OF COMMUNICATION FOR INVESTMENT AND OTHER BUSINESS ACTIVITIES BY PROMOTING, SUPPORTING, AND ADMINISTERING EDUCATIONAL AND RESEARCH PROGRAMS IN HEALTHCARE IN GENERAL AND IN ONCOLOGICAL SURGERY IN PARTICULAR.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>NO REVIEW WAS OR WILL BE CONDUCTED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>DISCUSSION AT ANNUAL MEETINGS</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NO DOCUMENTS AVAILABLE TO THE PUBLIC</ExplanationTxt>
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