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Derek Mallard
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Provider Information
First Name
Derek
Last Name
Mallard
License Number
P003326
License Prefix
P
Provider Type
Paramedic
Status
lapsed - failure to renew
County
Not listed
State
GA
GEMSIS ID
f09e891b-63aa-e911-8259-cccaa7913d97
Grade
Grade not yet available.
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