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Alphonse Formicola
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Provider Information
First Name
Alphonse
Last Name
Formicola
License Number
E036113
License Prefix
E
Provider Type
EMT
Status
active
County
Not listed
State
GA
GEMSIS ID
dfe04bfe-cd26-4145-a257-3780e283c3c2
Grade
Grade not yet available.
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