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STATE USE ONLYCALIFORNIA EMERGENCY SERVICES AUTHORITY
PARAMEDIC LICENSURE PROGRAM
10901 Gold Center Drive, Ste. 400, Rancho Cordova, CA 956706073
TELEPHONE (916) 3239875 / FAX (916) 3242875P. M.:___Rec:___By:___
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The 2nd type r refers to a specific type of reporting form used for compliance in various regulatory frameworks, often related to financial or tax information.
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