DINAS KESEHATAN
UPT PUSKESMAS AMBARAWA
Alamat : Jl. H.M. Ghardi No.1 RT 03 RW 01 Ambarawa Kec.Ambarawa
Kode Pos 35376
TENTANG
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MEMUTUSKAN
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DITETAPKAN DI...................
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KEPALA UPT PUSKESMAS AMBARAWA,
Agung Wicaksono