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Is there a certification level between EMT and Paramedic in Yakima County?

Certification EMT level Paramedic yakima county
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Is there a certification level between EMT and Paramedic in Yakima County?

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There are 5 levels of EMT-Intermediate: IV Technician Airway Technician IV/Airway Technician EMT-Intermediate IV/Combitube EMT-Intermediate IV/Endotracheal tube

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