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BLS Provider: Basic Life Support

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B A S I C L I F E S U P P O R T

BLS
Provider

Madelyne Smith
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 Recommended Renewal Date


4/22/2019 04/2021

Training Center Name Instructor Name


Clinical Simulation & Learning Center
Jeffrey Bonavita

Instructor ID
Training Center ID
11180734961
VA00358
eCard Code
Training Center Address
195503181466
7900 Shrader Road
Henrico VA 23294-4215 USA QR Code

Training Center Phone


Number
(804) 627-5447

To view or verify authenticity, students and employers should scan this QR code with their mobile device or go to www.heart.org/cpr/mycards.
© 2016 American Heart Association. All rights reserved.  15-3001  3/16

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