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Rhode Island Department of Health 3 Capitol Hill, Room 103, Providence, RI[removed][removed]EMS Department/Service Affiliation Roster THIS FORM IS TO BE COMPLETED BY THE DEPARTMENT/SERVICE CHIEF
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Document Date: 2014-07-22 13:20:35


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File Size: 33,30 KB

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City

First / Providence / /

Organization

Department of Health / EMT-_____________ As Service / EMS Department / /

Position

THE DEPARTMENT/SERVICE CHIEF / Chief for ______ / Service Chief / /

ProvinceOrState

Rhode Island / /

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