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NIRA : 36040767749

ID Number

Nama : Ns. NISA LUTFIAH S.Kep


Name

Tmp/ tgl lahir : PANDEGLANG,10 Juli 1998


Place/date of birth DKI JAKARTA, 05 September 2022

Alamat : KP. LANTERA


Address

DPD : KABUPATEN SERANG


DPW : BANTEN
county board Dr. Harif Fadhillah, SKp., SH., M.Kep., MH. Ns. NISA LUTFIAH S.Kep

Berlaku s.d : 10 Juli 2027 NIRA :31730002030 NIRA :36040767749


Valid until

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