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Brock Green
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Provider Information
First Name
Brock
Last Name
Green
License Number
A002228
License Prefix
A0
Provider Type
Advanced EMT
Status
lapsed - failure to renew
County
Not listed
State
GA
GEMSIS ID
2f9f891b-63aa-e911-8259-cccaa7913d97
Grade
Grade not yet available.
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