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Ivy Austin
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Provider Information
First Name
Ivy
Last Name
Austin
License Number
I020763
License Prefix
I
Provider Type
EMT-Intermediate
Status
lapsed - failure to renew
County
Not listed
State
GA
GEMSIS ID
aa7f7a1c-63aa-e911-8259-cccaa7913d97
Grade
Grade not yet available.
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