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© 2016 American Heart Association. All rights reserved.  15-3001  3/16
BLS
Provider
B A S I C L I F E S U P P O R T
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
Training Center Name
Training Center ID
Recommended Renewal Date
Instructor Name
Instructor ID
eCard Code
QR Code
Training Center Address
Training Center Phone
Number
Martin McNichols
01/11/2017 01/2019
F M Ambulance Service Brandon Wehner
05160468764
ND05536
165509980747
2215 18th Street South
Fargo ND 58103-5105 USA
(701) 364-1738

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Basic Life Support Certificate

  • 1. 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 BLS Provider B A S I C L I F E S U P P O R T 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 Training Center Name Training Center ID Recommended Renewal Date Instructor Name Instructor ID eCard Code QR Code Training Center Address Training Center Phone Number Martin McNichols 01/11/2017 01/2019 F M Ambulance Service Brandon Wehner 05160468764 ND05536 165509980747 2215 18th Street South Fargo ND 58103-5105 USA (701) 364-1738