| Nama | : | Intan Permatasari, S.Kep. Ners |
| Jabatan | : | - |
| NUPTK | : | - |
| NIP | : | - |
| Tempat Lahir | : | Surabaya, 05 juli 1995 |
| Agama | : | Islam |
| Jenis Kelamin | : | Perempuan |
| Status | : | - |
| No. HP | : | - |
| : | ipintan2@gmail.com | |
| Alamat | : | Desa tanjung rt 01 rw 01 tambakrejo bojonegoro |
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