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Nomor Kartu : 0002485643422

Nama : M. FATHIR SAPUTRA


Alamat : JL TAQWA LRG ANGKATAN 45 MATA MERAH BLS D22
060/007 SUNGAISELINCAH, KALIDONI, PALEMBANG
Tanggal : 23-08-2018
NIK : 1671022308180004
Faskes : SEI SELINCAH

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