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Marisa Wallace

Paramediclapsed - failure to renewLicense P004779
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Provider Information

First Name
Marisa
Last Name
Wallace
License Number
P004779
License Prefix
P
Provider Type
Paramedic
Status
lapsed - failure to renew
County
Not listed
State
GA
GEMSIS ID
16af891b-63aa-e911-8259-cccaa7913d97

Grade

Grade not yet available.

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