NO NAMA TTL ALAMAT TEMPAT KERJA

1 Lamongan, Ds. Dateng RT. 03 RW. 01

Aang Syaifuddin RSNU Tuban
5/9/1988 Kec. Laren Kab. Lamongan

2
Tuban, Dsn Mrutuk RT 001 RW 004,
Agus Sugianto RSNU Tuban
14/08/1990 Widang, Tuban

3 Tuban, Jl. Pucangan RT 002 RW 004,

Ahmad Faqih Fiddin RSNU Tuban
22/08/1990 Pocongan, Montong, Tuban

4 Lamongan, Ds. Wanar RT. 05 RW. 01 Kec.

Akhmad Mansur RSNU Tuban
12/3/1991 Pucuk Kab. Lamongan

Dsn Sawahan RT 002 RW 004,

5 Alif Wahyu Tuban,
Tegal Agung, Semanding, RSNU Tuban
Prihaningtyas 20/10/1993
Tuban
6 Tuban, Dsn. Bogor RT.001/RW.011
Beker Martapura RSNU Tuban
01/05/1990 Bektiharjo Semanding

Dsn. kuthi RT. 004 RW. 004

7 Gresik,
Betty Lukiatie Kel. Bogorejo, Merakurak, RSNU Tuban
28/02/1985
Tuban

Komplek BLKM RT. 04 RW.

8
Prodi D3
Binti Yunariyah Blitar, 8/12/1966 01 Kel. Latsari Kec. Tuban
Keperawatan
Kab. Tuban

9 Lamongan, Bogorejo RT 004 RW 004,

Danny Piston RSNU Tuban
20/12/1980 Merakurak, Tuban

10 Tuban, RT 01 RW 05 Tegal Agung

Dheny Adhitia RSNU Tuban
08/05/1988 Semanding Tuban

Jl. Cendana No 8 RT 008 RW

11 Tuban,
Diah Sri Lestari 003, Tasik Madu, Palang, RSNU Tuban
29/03/1983
Tuban
12 Dian Marita Tuban, Jl. Manalagi 1 No. 03 RT 003
RSNU Tuban
Dwijayanti 27/03/1988 RW 002 Kel. Perbon, Tuban

Karang Indah AD 40 RT 01
13 Tuban,
Dyah Pitaloka RW 05, Karang, Semanding, STIKES NU Tuban
10/08/1989
Tuban

14
Tuban, Ds. Cendoro Utara Palang RT.
Eli Rupiah RSNU Tuban
07/11/1984 002 RW. 002, Palang , Tuban

15 Tuban, Dsn. Murgung RT 002 RT 001

Eris Rahayuningtyas RSNU Tuban
19/09/1978 Ds. Sumurgung, Palang, Tuban

16 Gunung Kidul, Leteh RT 001 RW 005,

Fidi Yantara RSNU Tuban
23/03/1989 Rembang, Rembang

17 Tuban, Dsn Kauman RT 002 RW 001,

Fuad RSNU Tuban
05/11/1986 Bulu Jowo, Bancar, Tuban
 Karang Agung Barat RT 10
18 Tuban,
Hanim Nur Faizah RW 02, Karang Agung Barat, STIKES NU Tuban
01/04/1990
Palang, Tuban

19 Lamongan, Ds. Krajan RT. 01 RW. 02 Kec.

Heri Arief RSNU Tuban
4/5/1984 Semanding Kab. Tuban

20
Pamekasan, Dsn Jenggolo RT 004 RW 001,
Herman Hidayat RSNU Tuban
12/09/1984 Ds Jenu, Tuban, Tuban

21 Tuban, Ds Tuwiri Wetan RT 004 RW

Hesti Pramita Dewi RSNU Tuban
23/12/1986 002, Merakurak, Tuban

Dsn Kedungsari RT 001 RW

22 Tuban,
Istikanah 005, Tuwiri Wetan, Merakurak, RSNU Tuban
29/03/1990
Tuban

23 Gresik, Jl. Majapahit Gg. II No. 37 RT

Karyo STIKES NU Tuban
02/01/1980 02 RW 05, Sidorejo, Tuban
24 Tuban, Jl. Majapahit 3 No. 43, RT 03
Kusno Feriyanto STIKES NU Tuban
05/02/1981 RW 05, Sidorejo Tuban

25 Lamongan, Ds. Dadapan RT.001/RW.004

Lukman Hakim STIKES NU Tuban
18/09/1982 Solokuro Lamongan

26
Tuban, Ds Gilis RT 001 RW 003,
Mahmudah RSNU Tuban
13/01/1990 Simorejo, Widang, Tuban

Jl. Pahlawan No 1 RT 001 RW

27 Nganjuk,
Mareta Prasetiana 007, Gedongombo, RSNU Tuban
15/03/1988
Semanding, Tuban

Pasar Ikan No. 13 RT. 02 RW.

28 Tuban,
Maulidiyah Aflakha 03 Kel. Kingking Kec. Tuban RSNU Tuban
23/8/1993
Kab. Tuban

29 Tuban, RT 01 RW 13, Plumpang,

Moh. Naim Kamali STIKES NU Tuban
06/01/1991 Plumpang, Tuban
 Dsn. Ngablak Ds. Sumberjo
30 Tuban,
Mokhamad Nurhadi RT 02 RW 05, Sumberjo, STIKES NU Tuban
22/04/1980
Merakurak, Tuban

Dsn Kepoh Dempet RT 003

31 Lamongan,
M David Hariyanto RW 008, Tunah, Semanding, RSNU Tuban
13/07/1982
Tuban

32
M. Robeth Tuban, Jl. Rondo Kuning RT 01 RW
STIKES NU Tuban
Rohmawan 23/06/1989 02, Bangilan, Tuban

33 Boyolali, Dsn Mawot RT 002 RW 001,

Mugiyanti RSNU Tuban
26/02/1983 Sugiharjo, Tuban

Dsn Krajan RT 003 RW 001,

34 Muhammad Tuban,
Soko Gunung, Kenduruan, RSNU Tuban
Maksum 28/07/1988
Tuban

Dsn. Krajan RT. 03 RW. 01

35 Moh. Ubaidillah
Tuban, 3/5/1990 Kel. Beji Kec. Jenu Kab. STIKES NU Tuban
Faqih
Tuban
 Dsn Jinggang RT 020 RW 006,
36 Bojonegoro,
Mundiyah Payaman, Ngrano, RSNU Tuban
15/10/1982
Bojonegoro,

37 Tuban, Kutorejo RT 001 RW 004, STIKES NU Tuban

Muttaqin
12/01/1990 Tuban, Tuban Kampus A

38
Tuban, Pugon RT 006 RW 001,
Nanik Sri Wahyuni RSNU Tuban
24/06/1992 Bancar, Tuban

Jl. Gotong Royong No 9 RT

39 Lamongan,
Nani Yulia Pertiwi 001 RW 001, Sogo, Babat, RSNU Tuban
11/07/1993
Lamongan

40 Tuban, Jl. Gresik RT 01 RW 04

Nina Yuniati RSNU Tuban
09/06/1984 Panyuran, Palang, Tuban

Jl. Patriot Gang VII, Dsn

41 Ninuc Dwiyudha Tuban,
Mandungan RT 009 RW 003, RSNU Tuban
Jayanti 19/12/1985
Widang, Tuban
 Perumahan Tuban Akbar, Jalan
42 Malang,
Novia Dwi Astuti Kenari Blok G-12 Perbon, STIKES NU Tuban
06/11/1978
Tuban

43 Ngawi, Paras RT 002 RW 001,

Novia Lisnawati RSNU Tuban
08/11/1990 Pangkur, Ngawi

44
Tuban, RT 08 RW 01 Pucangan Palang
Nurul Rohman RSNU Tuban
08/04/1990 Tuban

45 Lamongan, Dsn Kunthi RT 05 RW 04,

Nurus Safa'ah STIKES NU Tuban
23/12/1975 Bogorejo, Merakurak, Tuban

Pongpongan Krajan RT. 001

46 Tuban,
Nurus Suryanti RW. 002 Kel. Pongpongan, RSNU Tuban
13/12/1984
Merakurak, Tuban

47 Lamongan, Ds. Latek RT. 09 RW. 02 Kec.

Prayogi RSNU Tuban
29/4/1986 Sekaran Kab. Lamongan
 Labuhan RT. 16 RW. 03 Kel.
48 Lamongan,
Rikwati Labuhan Kec. Brondng Kab. RSNU Tuban
7/12/1989
Lamongan

49 Tuban, Dsn. Taraan RT. 003/ RW. 003

Setyo Ari Wibowo RSNU Tuban
30/07/1990 Tegal rejo Merakurak Tuban

50
Sri Kukuh Agus Tuban, Panjen RT. 004 RW. 001 Kel.
RSNU Tuban
Rina 09/08/1987 Jenggolo, Jenu, Tuban

Dsn. Kranjan RT 02 RW 03,

51 Tuban,
Suhartono Sari Ngembat, Bangilan, STIKES NU Tuban
12/10/1988
Tuban

Dsn Bungur RT 001 RW 002,

52 Tuban,
Suliswanto Sugihrejo, Sukodadi, RSNU Tuban
09/05/1988
Lamongan

53 Malang, Jl. WR Supratman No. 57 RT

Sunanita STIKES NU Tuban
01/09/1975 01 RW 02 Baturetno Tuban
54 Tri Wahyu Tuban, Jl. Mojopahit RT 03 RW 05
RSNU Tuban
Ananingrum 04/03/1987 Sidorejo Tuban

55 Tuban, Ds. Purworejo RT. 003 RW.

Wiwik Muanah RSNU Tuban
10/11/1976 001, Jenu, Tuban

56
Tuban, Ds. Sambonggede RT 002 RW
Yulikah RSNU Tuban
23/10/1984 002, Merakurak, Tuban
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