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Phisanouk Phadoungsyavong

EMT-Responderlapsed - failure to renewLicense R000445
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Provider Information

First Name
Phisanouk
Last Name
Phadoungsyavong
License Number
R000445
License Prefix
R
Provider Type
EMT-Responder
Status
lapsed - failure to renew
County
Not listed
State
GA
GEMSIS ID
b24ac64d-29fc-4392-ad88-f99b0407919b

Grade

Grade not yet available.

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