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David Waller
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Provider Information
First Name
David
Last Name
Waller
License Number
I028165
License Prefix
I
Provider Type
EMT-Intermediate
Status
lapsed - failure to renew
County
Not listed
State
GA
GEMSIS ID
7d747a1c-63aa-e911-8259-cccaa7913d97
Grade
Grade not yet available.
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