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  • Idioma: Inglés

    Editorial: Bellebooks Inc (edition First Edition), 2007

    0976876086 / 9780976876083

    Serie: Libro 6 de 9 - the Mossy Creek Series

    • Tapa blanda
    • Primera edición

    Librería: BooksRun, Philadelphia, PA, Estados Unidos de AmericaBooksRun

    Vendedor de 5 estrellas
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    Condición: Usado - Regular

    EUR 5,22

     Gastos de envío gratis 
    Se envía dentro de Estados Unidos de America

    Cantidad disponible: 1 disponible

    Paperback. Condición: Fair. First Edition. The item might be beaten up but readable. May contain markings or highlighting, as well as stains, bent corners, or any other major defect, but the text is not obscured in any way. Ex-Library.

  • Idioma: Inglés

    Editorial: Jossey-Bass, 2004

    0787910368 / 9780787910365

    • Tapa dura

    Librería: Orion Tech, Kingwood, TX, Estados Unidos de AmericaOrion Tech

    Vendedor de 5 estrellas
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    Condición: Usado - Regular

    EUR 5,46

     Gastos de envío gratis 
    Se envía dentro de Estados Unidos de America

    Cantidad disponible: 1 disponible

    hardcover. Condición: Fair.

  • Idioma: Inglés

    Editorial: Jossey-Bass, 2004

    0787910368 / 9780787910365

    • Tapa dura

    Librería: Greenworld Books, arlington, TX, Estados Unidos de AmericaGreenworld Books

    Vendedor de 5 estrellas
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    Condición: Usado

    EUR 5,47

     Gastos de envío gratis 
    Se envía dentro de Estados Unidos de America

    Cantidad disponible: 1 disponible

    Condición: like_new. Fast Free Shipping â" Excellent condition book with clean cover and pages. Barely handled, with minimal wear. An outstanding copy, close to enjoy.

  • Idioma: Inglés

    Editorial: Jossey-Bass, 2004

    0787910368 / 9780787910365

    • Tapa dura

    Librería: ThriftBooks-Atlanta, AUSTELL, GA, Estados Unidos de AmericaThriftBooks-Atlanta

    Vendedor de 5 estrellas
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    Condición: Usado - Aceptable

    EUR 6,13

     Gastos de envío gratis 
    Se envía dentro de Estados Unidos de America

    Cantidad disponible: 1 disponible

    Hardcover. Condición: Good. No Jacket. Pages can have notes/highlighting. Spine may show signs of wear. ~ ThriftBooks: Read More, Spend Less.

  • Idioma: Inglés

    Editorial: Jossey-Bass, 2004

    0787910368 / 9780787910365

    • Tapa dura

    Librería: ThriftBooks-Dallas, Dallas, TX, Estados Unidos de AmericaThriftBooks-Dallas

    Vendedor de 5 estrellas
    Contactar con el vendedor

    Condición: Usado - Bueno

    EUR 6,13

     Gastos de envío gratis 
    Se envía dentro de Estados Unidos de America

    Cantidad disponible: 1 disponible

    Hardcover. Condición: Very Good. No Jacket. May have limited writing in cover pages. Pages are unmarked. ~ ThriftBooks: Read More, Spend Less.

  • Idioma: Inglés

    Editorial: Jossey-Bass, 2004

    0787910368 / 9780787910365

    • Tapa dura

    Librería: HPB-Ruby, Dallas, TX, Estados Unidos de AmericaHPB-Ruby

    Vendedor de 5 estrellas
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    Condición: Usado - Bueno

    EUR 2,80

    Envío por EUR 3,40 
    Se envía dentro de Estados Unidos de America

    Cantidad disponible: 1 disponible

    Hardcover. Condición: Very Good. Connecting readers with great books since 1972! Used books may not include companion materials, and may have some shelf wear or limited writing. We ship orders daily and Customer Service is our top priority.

  • Idioma: Inglés

    Editorial: National Academies Press, 2013

    0309260736 / 9780309260732

    • Tapa dura

    Librería: New Legacy Books, Annandale, NJ, Estados Unidos de AmericaNew Legacy Books

    Vendedor de 4 estrellas
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    Condición: Usado - Aceptable

    EUR 4,27

    Envío por EUR 2,26 
    Se envía dentro de Estados Unidos de America

    Cantidad disponible: 1 disponible

    hardcover. Condición: Good. The cover shows normal wear. Fast shipping and order satisfaction guaranteed. A portion of your purchase benefits Non-Profit Organizations, First Aid and Fire Stations.

  • Idioma: Inglés

    Editorial: National Academies Press, 2013

    0309260736 / 9780309260732

    • Tapa dura

    Librería: World of Books (was SecondSale), Montgomery, IL, Estados Unidos de AmericaWorld of Books (was SecondSale)

    Vendedor de 5 estrellas
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    Condición: Usado - Aceptable

    EUR 6,71

     Gastos de envío gratis 
    Se envía dentro de Estados Unidos de America

    Cantidad disponible: 1 disponible

    Hardback. Condición: Good. America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009--roughly $750 billion--was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.…

  • Idioma: Inglés

    Editorial: Thorndike Press, 2008

    1410403890 / 9781410403896

    Serie: Libro 6 de 9 - the Mossy Creek Series

    • Tapa dura

    Librería: Better World Books, Mishawaka, IN, Estados Unidos de AmericaBetter World Books

    Vendedor de 5 estrellas
    Contactar con el vendedor

    Condición: Usado - Bueno

    EUR 7,26

     Gastos de envío gratis 
    Se envía dentro de Estados Unidos de America

    Cantidad disponible: 1 disponible

    Condición: Very Good. Lrg. Former library copy. Pages intact with possible writing/highlighting. Binding strong with minor wear. Dust jackets/supplements may not be included. Includes library markings. Stock photo provided. Product includes identifying sticker. Better World Books: Buy Books. Do Good.…

  • Idioma: Inglés

    Editorial: Thorndike Press, 2008

    1410403890 / 9781410403896

    Serie: Libro 6 de 9 - the Mossy Creek Series

    • Tapa dura

    Librería: Better World Books, Mishawaka, IN, Estados Unidos de AmericaBetter World Books

    Vendedor de 5 estrellas
    Contactar con el vendedor

    Condición: Usado - Aceptable

    EUR 7,26

     Gastos de envío gratis 
    Se envía dentro de Estados Unidos de America

    Cantidad disponible: 2 disponibles

    Condición: Good. Lrg. Former library copy. Pages intact with minimal writing/highlighting. The binding may be loose and creased. Dust jackets/supplements are not included. Includes library markings. Stock photo provided. Product includes identifying sticker. Better World Books: Buy Books. Do Good.

  • Idioma: Inglés

    Editorial: Wiley & Sons, Incorporated, John, 2004

    0787910368 / 9780787910365

    • Tapa dura
    • Primera edición

    Librería: Better World Books, Mishawaka, IN, Estados Unidos de AmericaBetter World Books

    Vendedor de 5 estrellas
    Contactar con el vendedor

    Condición: Usado - Excelente

    EUR 7,31

     Gastos de envío gratis 
    Se envía dentro de Estados Unidos de America

    Cantidad disponible: 1 disponible

    Condición: Fine. 1st Edition. Used book that is in almost brand-new condition. May contain a remainder mark. Better World Books: Buy Books. Do Good.

  • Idioma: Inglés

    Editorial: Wiley & Sons, Incorporated, John, 2004

    0787910368 / 9780787910365

    • Tapa dura
    • Primera edición

    Librería: Better World Books, Mishawaka, IN, Estados Unidos de AmericaBetter World Books

    Vendedor de 5 estrellas
    Contactar con el vendedor

    Condición: Usado - Aceptable

    EUR 7,31

     Gastos de envío gratis 
    Se envía dentro de Estados Unidos de America

    Cantidad disponible: 2 disponibles

    Condición: Good. 1st Edition. Former library copy. Pages intact with minimal writing/highlighting. The binding may be loose and creased. Dust jackets/supplements are not included. Includes library markings. Stock photo provided. Product includes identifying sticker. Better World Books: Buy Books. Do Good.…

  • Idioma: Inglés

    Editorial: Oxford University Press, U.S.A. 29/04/1993, 1993

    0198549849 / 9780198549840

    • Tapa blanda

    Librería: AwesomeBooks, Wallingford, Reino UnidoAwesomeBooks

    Vendedor de 5 estrellas
    Contactar con el vendedor

    Condición: Usado - Bueno

    EUR 5,41

    Envío por EUR 2,39 
    Se envía de Reino Unido a Estados Unidos de America

    Cantidad disponible: 1 disponible

    Condición: Very Good. This book is in very good condition and will be shipped within 24 hours of ordering. The cover may have some limited signs of wear but the pages are clean, intact and the spine remains undamaged. This book has clearly been well maintained and looked after thus far. Money back guarantee if you are not satisfied. See all our books here, order more than 1 book and get discounted shipping. .…

  • Idioma: Inglés

    Editorial: National Academies Press, 2013

    0309260736 / 9780309260732

    • Tapa dura

    Librería: ThriftBooks-Dallas, Dallas, TX, Estados Unidos de AmericaThriftBooks-Dallas

    Vendedor de 5 estrellas
    Contactar con el vendedor

    Condición: Usado - Bueno

    EUR 7,99

     Gastos de envío gratis 
    Se envía dentro de Estados Unidos de America

    Cantidad disponible: 1 disponible

    Hardcover. Condición: Very Good. No Jacket. May have limited writing in cover pages. Pages are unmarked. ~ ThriftBooks: Read More, Spend Less.

  • Idioma: Inglés

    Editorial: National Academies Press, 2013

    0309260736 / 9780309260732

    • Tapa dura

    Librería: ThriftBooks-Atlanta, AUSTELL, GA, Estados Unidos de AmericaThriftBooks-Atlanta

    Vendedor de 5 estrellas
    Contactar con el vendedor

    Condición: Usado - Bueno

    EUR 7,99

     Gastos de envío gratis 
    Se envía dentro de Estados Unidos de America

    Cantidad disponible: 1 disponible

    Hardcover. Condición: Very Good. No Jacket. May have limited writing in cover pages. Pages are unmarked. ~ ThriftBooks: Read More, Spend Less.

  • Idioma: Inglés

    Editorial: National Academies Press, 2013

    0309260736 / 9780309260732

    • Tapa dura

    Librería: HPB-Red, Dallas, TX, Estados Unidos de AmericaHPB-Red

    Vendedor de 5 estrellas
    Contactar con el vendedor

    Condición: Usado - Aceptable

    EUR 4,67

    Envío por EUR 3,40 
    Se envía dentro de Estados Unidos de America

    Cantidad disponible: 1 disponible

    hardcover. Condición: Good. Connecting readers with great books since 1972! Used textbooks may not include companion materials such as access codes, etc. May have some wear or writing/highlighting. We ship orders daily and Customer Service is our top priority.

  • Idioma: Inglés

    Editorial: YALE UNIVERSITY PRESS, 2014

    0300200692 / 9780300200690

    Serie: Libro 33 de 75 - Yale Agrarian Studies

    • Tapa dura

    Librería: Your Online Bookstore, Houston, TX, Estados Unidos de AmericaYour Online Bookstore

    Vendedor de 5 estrellas
    Contactar con el vendedor

    Condición: Usado - Como Nuevo

    EUR 8,28

     Gastos de envío gratis 
    Se envía dentro de Estados Unidos de America

    Cantidad disponible: 1 disponible

    hardcover. Condición: As New.

  • Idioma: Inglés

    Editorial: YALE UNIVERSITY PRESS, 2014

    0300200692 / 9780300200690

    Serie: Libro 33 de 75 - Yale Agrarian Studies

    • Tapa dura

    Librería: More Than Words, Waltham, MA, Estados Unidos de AmericaMore Than Words

    Vendedor de 5 estrellas
    Contactar con el vendedor

    Condición: Usado - Bueno

    EUR 4,56

    Envío por EUR 3,62 
    Se envía dentro de Estados Unidos de America

    Cantidad disponible: 1 disponible

    Condición: Very Good. A bright, square, and overall a nice copy.

  • Idioma: Inglés

    Editorial: Edwin Valentine Mitchell: Hartford/Dodd Mead: New York, 1930

    • Tapa dura
    • Primera edición

    Librería: Avenue Victor Hugo Books, Newmarket, NH, Estados Unidos de AmericaAvenue Victor Hugo Books

    Vendedor de 4 estrellas
    Contactar con el vendedor

    Condición: Usado - Bueno

    EUR 4,43

    Envío por EUR 3,95 
    Se envía dentro de Estados Unidos de America

    Cantidad disponible: 1 disponible

    Añadir al carrito

    Hardcover. Condición: Very Good. without dust jacket. First Edition. Octavo, 8" tall, iv + 147 pages, black titles gray cloth. A good, generally clean, neat original hard cover first edition with minor shelf wear BUT foxing stains and light soiling to the spine cloth; binding solid, paper lightly yellowed, with a previous owner's name stamp on the front endpaper. Without dust jacket.…

  • Idioma: Inglés

    Editorial: National Academies Press, 2013

    0309260736 / 9780309260732

    • Tapa dura

    Librería: World of Books Inc, Montgomery, IL, Estados Unidos de AmericaWorld of Books Inc

    Vendedor de 4 estrellas
    Contactar con el vendedor

    Condición: Usado - Aceptable

    EUR 8,57

     Gastos de envío gratis 
    Se envía dentro de Estados Unidos de America

    Cantidad disponible: 1 disponible

    Hardback. Condición: Good. America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009--roughly $750 billion--was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.…

  • Idioma: Inglés

    Editorial: National Academies Press, 2013

    0309260736 / 9780309260732

    • Tapa dura

    Librería: Better World Books, Mishawaka, IN, Estados Unidos de AmericaBetter World Books

    Vendedor de 5 estrellas
    Contactar con el vendedor

    Condición: Usado - Aceptable

    EUR 8,94

     Gastos de envío gratis 
    Se envía dentro de Estados Unidos de America

    Cantidad disponible: 2 disponibles

    Condición: Good. Pages intact with minimal writing/highlighting. The binding may be loose and creased. Dust jackets/supplements are not included. Stock photo provided. Product includes identifying sticker. Better World Books: Buy Books. Do Good.

  • Idioma: Inglés

    Editorial: FABER & FABER, 2000

    0571196691 / 9780571196692

    • Tapa blanda

    Librería: SustainableBooks.com, Amherst, NY, Estados Unidos de AmericaSustainableBooks.com

    Vendedor de 5 estrellas
    Contactar con el vendedor

    Condición: Usado - Aceptable

    EUR 9,70

     Gastos de envío gratis 
    Se envía dentro de Estados Unidos de America

    Cantidad disponible: 1 disponible

    Condición: Good. Book is in Used-Good condition. Pages and cover are clean and intact. Used items may not include supplementary materials such as CDs or access codes. May show signs of minor shelf wear and contain limited notes and highlighting.

  • Idioma: Inglés

    Editorial: Independently published, 2019

    1097456110 / 9781097456116

    • Tapa blanda

    Librería: -OnTimeBooks-, Phoenix, AZ, Estados Unidos de America-OnTimeBooks-

    Vendedor de 5 estrellas
    Contactar con el vendedor

    Condición: Usado - Aceptable

    EUR 10,23

     Gastos de envío gratis 
    Se envía dentro de Estados Unidos de America

    Cantidad disponible: 1 disponible

    Condición: good. A copy that has been read, remains in good condition. All pages are intact, and the cover is intact. The spine and cover show signs of wear. Pages can include notes and highlighting and show signs of wear, and the copy can include "From the library of" labels or previous owner inscriptions. 100% GUARANTEE! Shipped with delivery confirmation, if you're not satisfied with purchase please return item! Ships via media mail.…

  • Idioma: Inglés

    Editorial: Independent Curators International, 2015

    0916365905 / 9780916365905

    • Tapa blanda

    Librería: ThriftBooks-Atlanta, AUSTELL, GA, Estados Unidos de AmericaThriftBooks-Atlanta

    Vendedor de 5 estrellas
    Contactar con el vendedor

    Condición: Usado - Bueno

    EUR 10,25

     Gastos de envío gratis 
    Se envía dentro de Estados Unidos de America

    Cantidad disponible: 1 disponible

    Paperback. Condición: Very Good. No Jacket. May have limited writing in cover pages. Pages are unmarked. ~ ThriftBooks: Read More, Spend Less.

  • Idioma: Inglés

    Editorial: Bellebooks Inc, 2007

    0976876086 / 9780976876083

    Serie: Libro 6 de 9 - the Mossy Creek Series

    • Tapa blanda

    Librería: HPB-Emerald, Dallas, TX, Estados Unidos de AmericaHPB-Emerald

    Vendedor de 5 estrellas
    Contactar con el vendedor

    Condición: Usado - Bueno

    EUR 7,00

    Envío por EUR 3,40 
    Se envía dentro de Estados Unidos de America

    Cantidad disponible: 1 disponible

    paperback. Condición: Very Good. Connecting readers with great books since 1972! Used books may not include companion materials, and may have some shelf wear or limited writing. We ship orders daily and Customer Service is our top priority.

  • Idioma: Inglés

    Editorial: Houghton Mifflin Company, Boston, MA, 2009

    0547069715 / 9780547069715

    • Tapa blanda

    Librería: The Shop Around The Corner, Elgin, IL, Estados Unidos de AmericaThe Shop Around The Corner

    Vendedor de 5 estrellas
    Contactar con el vendedor

    Condición: Usado - Bueno

    EUR 4,21

    Envío por EUR 6,12 
    Se envía dentro de Estados Unidos de America

    Cantidad disponible: 1 disponible

    Soft cover. Condición: Very Good. No Jacket. box 16 5½"x8¼"; 376 pages; The binding and pages are clean, tight and square. There is no underlining, highlighting or margin notes. A used copy with normal reading wear. If you order multiple titles, I will combine them in order to reduce postage costs. If you have any questions, contact me before ordering for details. Contains the following: "Foreword" by Glenn Stout; "Introduction" by Leigh Montville; "Life and Limb" by Bruce Barcott; "The Things We Forget" by Chris Jones; "Alive and Kicking" by Gary Smith; "Inside the Mind of a .Genius?" by Matthew Teague"; Father Bear" by Wright Thompson; "The Free Agent Adjusts His Truss" by Bryan Curtis; "Running Scared" by Amby Burfoot; "2 on 5" by Thomas Lake; "The Ball That Just Won't Die" by David Fleming; "Commie Ball" by Michael Lewis; "Breaking the Bank" by L. Jon Wertheim; "Dropped" by Alan Prendergast; "Searching for Answers to a Painful Question" by Mike Wise; "The Source of All Things" by Tracy Ross; "Quarterbacks Built Here" by Paul Solotaroff; "Spartan Warriors in the YouTube Age, or, The Legend of Legend, Spider, and Science" by Stephen Rodrick; "Men Who Love Goons" by Patrick Hruby; "Royal Flushed" by Michael J. Mooney; "Untitled Mike Flynt Project" by John Spong; "Russian Revolution" by Ian Thomsen; "LeBron James's Magnum-Sized, Ultrashiny. Nike-Powered Lawn Mower to the Next Century" by Lisa Taddeo; "Where There's Smoke." by Mike Guy; "Rough Water" by David McGlynn; "Memories are Forever" by Todd Drew. …

  • Idioma: Inglés

    Editorial: Yale University Press, 2014

    0300200692 / 9780300200690

    Serie: Libro 33 de 75 - Yale Agrarian Studies

    • Tapa dura

    Librería: Better World Books, Mishawaka, IN, Estados Unidos de AmericaBetter World Books

    Vendedor de 5 estrellas
    Contactar con el vendedor

    Condición: Usado - Bueno

    EUR 10,55

     Gastos de envío gratis 
    Se envía dentro de Estados Unidos de America

    Cantidad disponible: 1 disponible

    Condición: Very Good. Pages intact with possible writing/highlighting. Binding strong with minor wear. Dust jackets/supplements may not be included. Stock photo provided. Product includes identifying sticker. Better World Books: Buy Books. Do Good.

  • Idioma: Inglés

    Editorial: Bloomsbury Children's Books, 2018

    1408897652 / 9781408897652

    • Tapa blanda

    Librería: WorldofBooks, Goring-By-Sea, WS, Reino UnidoWorldofBooks

    Vendedor de 5 estrellas
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    Condición: Usado - Bueno

    EUR 3,45

    Envío por EUR 6,71 
    Se envía de Reino Unido a Estados Unidos de America

    Cantidad disponible: 1 disponible

    Paperback. Condición: Very Good. The book has been read, but is in excellent condition. Pages are intact and not marred by notes or highlighting. The spine remains undamaged. Hodgkinson, Leigh (ilustrador).

  • Idioma: Inglés

    Editorial: FABER & FABER, 2000

    0571196691 / 9780571196692

    • Tapa blanda

    Librería: MusicMagpie, Stockport, Reino UnidoMusicMagpie

    Vendedor de 5 estrellas
    Contactar con el vendedor

    Condición: Usado - Bueno

    EUR 3,85

    Envío por EUR 6,58 
    Se envía de Reino Unido a Estados Unidos de America

    Cantidad disponible: 1 disponible

    Condición: Very Good. Estado de la sobrecubierta: 46891860. 1776775899. 4/21/2026 12:51:39 PM.

  • Idioma: Inglés

    Editorial: Yale University Press, 2014

    0300200692 / 9780300200690

    Serie: Libro 33 de 75 - Yale Agrarian Studies

    • Tapa dura

    Librería: HPB-Red, Dallas, TX, Estados Unidos de AmericaHPB-Red

    Vendedor de 5 estrellas
    Contactar con el vendedor

    Condición: Usado - Aceptable

    EUR 7,30

    Envío por EUR 3,40 
    Se envía dentro de Estados Unidos de America

    Cantidad disponible: 1 disponible

    Hardcover. Condición: Good. Connecting readers with great books since 1972! Used textbooks may not include companion materials such as access codes, etc. May have some wear or writing/highlighting. We ship orders daily and Customer Service is our top priority.