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Keith Mangum

Advanced EMTlapsed - failure to renewLicense A023387
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Provider Information

First Name
Keith
Last Name
Mangum
License Number
A023387
License Prefix
A0
Provider Type
Advanced EMT
Status
lapsed - failure to renew
County
Not listed
State
GA
GEMSIS ID
17ad891b-63aa-e911-8259-cccaa7913d97

Grade

Grade not yet available.

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