CNA

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Provider

BASIC LIFE SUPPORT

has successfully completed the cognitive and skills evaluations in accordance with the curriculum of the American Heart Association Basic Life Support

(CPR and AED) Program.

Issue Date

Training Center Name

Training Center ID

Recommended Renewal Date

Instructor Name

Instructor ID

eCard Code

QR Code

Training Center Address

Training Center Phone

Number

Priscilla Rickson

07/19/2017 07/2019

North Central Assoc Carol Stiles

071********

CT03900

175*********

178 S Grand St

West Suffield CT 06093-3413 USA

860-***-****

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