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Elise Roth
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Provider Information
First Name
Elise
Last Name
Roth
License Number
I040725
License Prefix
I
Provider Type
EMT-Intermediate
Status
lapsed - failure to renew
County
Not listed
State
GA
GEMSIS ID
09aa891b-63aa-e911-8259-cccaa7913d97
Grade
Grade not yet available.
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