daftar faskes divre v 070214

8/17/2019 Daftar Faskes Divre v 070214

1/211

2 DOKTER UMUM PRAKTEK MANDIRI

No Nama Fasilitas Kesehatan

1 dr. ATTI SEMIATI S., MM

2 dr. DEFLIYANA

3 dr. ELIZABETH TANUWIJAYA

4 dr. MAYRINA DAT MALEM

5 dr. RANI BUDIMAN

6 dr. SRI WAHJUDIATI

7 dr. SUSATYO TRIWILOO, MH

! dr. WULANSARI DJUNAEDI, M. "ES

# dr. M E"O ARYANTO1$ dr. AN%ILLA LINNA LIMMENA

11 dr. SIS"A &ERFIANTI

12 dr. MUHAMMAD FAUZAN HASBI

13 dr. NUR FARAH

14 dr. LINDAWATY HERMAWAN

15 dr. Y'() S*r+( O-

16 dr. H/. D'd' S*d/(, MH

17 dr. N*r Fr

1! dr. H'(r+ JRT

3 DOKTER GIGI/KLINIK GIGI

No Nama Fasilitas Kesehatan

1 DRG Nuke

2 DRG. NINA RATNA NINGSIH

3 DRG. SELLY YUSALINA

4 DRG. HARYOSENO

4 KLINIK PRATAMA

no Nama Fasilitas Kesehatan

1 "LINI" AFIFA MEDI"A0

2 "LINI" AIATI0

3 MI MEDI%AL %ENTRE


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4 "LINI" RATAMA AASINA

5 "IRANA MEDI"A0

6 "LINI" ALIIA MEDI"A0

7 "LINI" AMANAH SU%I0

! ")() A( N*r

# "LINI" HARAAN SEHAT0

1$ "LINI" HI"MAH0

11 "LINI" "IARA HUSADA

12 "LINI" ERDITA0

13 "LINI" RATAMA SEHATI0

14 "LINI" SELAMAT015 "LINI" UJUN&BERUN&0

16 "LINI" UTAMA AL ISLAM0

17 MONALISA MEDI%AL %ENTRE0

1! "LINI" NAYA"A $3 %IMAHI

1# "LINI" SEHAT SA"INAH

2$ "LINI" IZZATI0

21 "LINI" "ASIH BUNDA0

22 ")() Ar) H*d II

23 ")() Ar) H*d III

24 ")() ")r H*d

25 ")() M'd) A(-()

26 ")() BMS U/*( B'r*(

27 ")() H'+

2! ")() R() %))2# ")() A(

3$ ")() R() %)-

31 M*d F*8( H9), dr

32 ")() r) H*d

33 ")() S'(r S'

34 ")() r M)r S' %)r''0

35 "LINI" r W)/+ M'd)0

36 ")() r A I I


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37 ")() r B):; H' %'(r'

3! DR LINDAWATY HERMAWAN

3# "LINI" %IAMEL

''r(( < 0= *d '))) >)) -'+(( D:'r &)

5 FAS"ES T".I MILI" TNI

(: N F)) "''(

1 ")() "'d III?SLW B(d*(

2 ")() S': AD

3 ")() S': TNI

4 ")() S'@-5 ")() *'()>

6 ")() ":d) TNI AD

7 ")() "'d III?SLW %))

! ")() *d)-*

# SES"OAU

1$ OS"ES HUSEIN

13 LANAL

6 FASKES TKI MILIK POLRI

no Nama Fasilitas Kesehatan

1 USDI"MIN OLRI

2 SESMIN OLRI

3 OLRESTABES BANDUN&4 OLRES %IMAHI

5 SN %ISARUA OLDA JABAR

6 BIDDO""ES OLDA JABAR

! RS KELAS D PRATAMA/RUMA" #ERSALIN/#ALAI PENG

(: N F)) "''(

1 B LUHUR MEDI%A %ENTRE0


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2 B MITRA MULYA0

3 B ASRYFA II0

4 B BUDI LUHUR

5 BALAI "ESEHATAN UNAD0

6 B AL I"HLAS III0

7 B MITRA MEDI"A

! B. BANDUN& T. "AI=

# B. DAHLIA

1$ B. HI"MAH II0

11 B A-'r I

12 B ASRYFA III013 B NAYA"A ERA HUSADA0

14 B SINDAN& SARI

15 B LUHUR MEDI%A0

16 B Y**> I

17 B Y**> M'd)

1! B. B) I(()

1# B %IATI"

2$ B BATUJAJAR?SINAR SEHAT0

21 B RAHARDJA


5/211

Alamat Tele$on

ALASARI NO. 36 BANDUN& $!12235711!

SETIABUDHI NO. 1!# BANDUN& $!522222#!62

JENDR. &ATOT SUBROTO NO. 21 BANDUN& $!1!$#$$4711

BB" SARI NO. 4! "IARA%ONDON& BANDUN& $!12233$$7!5

OTE" BIOMEDI"A JL.INDRAYASA NO 12$ "OM.ME"ARWAN&I "EL. %IBADUYUT $!126777!77

OTE" ITA MEDI"A, JL IBRAHIM AJIE NO. !3 BANDUN& $!11224!465

JEND. SUDIRMAN NO. 711 BANDUN& $!12242$3$#

OTE" "24, JLN. SARIMANAH NO. 23 SARIJADI BANDUN& $!7!22166$6! ? $22 2$$!535

%IBOLERAN& NO. 14 BABA"AN %IARAY $!522212$5$$LEUWI&AJAH MAHAR MARTANE&ARA= NO. 1!$ %IMAHI $!166$$247

D)-) U*r N:. 76 B(d*(

S)(d('r N:.15$ RT $2 RW $7 D. %)(C* "'@. S)(d('r $!1376516$#4

S(*r)( N:. 56 %))

RAYA LEMBAN& NO 3!4 $22 27!4!27

L'(:( T'( N:. 16 B(d*(

( B* B* N:. 54 B(d*(

S(*r)( N:. 56 %))

R+ %)99 N: 452 %))

Alamat Tele$on

LAN RAYA LEMBANG $!1221572$5!

. BABAKAN SARI NO.48 KIARACONDONG BANDUNG

POTEK K-24 JL. SARIMANAH NO. 23 SARIJADI BANDUNG

BAROS G.13! CIMAHI

Alamat Tele$on

SU"A&ALIH NO. 264% BANDUN& $!13214716$1

"OO NO 5# BANDUN& $2252322#1

A%EH NO. 7# BANDUN&


6/211

ADASU"A NO. 33 BANDUN& $!122$#4254

JATIHANDA NO #! BANDUN& $!52214$3523

ASUNDAN N$. 1$7 BANDUN& $!13223!7776

.H.H. MUSTOA NO. 124 BANDUN& $!13223!7776

SETIABUDI NO.63 BANDUN& $22 2$31#22

JEND. &ATOT SUBROTO NO 1!1 $2273$36#5

ESANTREN !A SU"AMIS"IN BANDUN& $!212#1$$$2$

TERS. IBRAHIM ADJIE "OM. "IARA SARI ASRI NO. 25 BANDUN& $22 7564#2#

%ILEN&"RAN& I NO. 373 UJUN&BERUN& BANDUN& $227!$$#56

JEND. A.H. NASUTION NO.#2! BLO" O BANDUN& $!1!$#$277$7

TERUSAN BUAH BATU NO 227 BANDUN&RUMAH SA"IT NO 5 UJUN&BERUN& BD& $!212#1$$$2$

AWIBITUN& NO.2#31 $2272$!2!4

LAN MO%HAMAD RAMDHAN NO. 32

BAROS RT $1?$4 "ELURAHAN LEUWI&AJAH %IMAHI SELATAN $!1!7!5521

"OL. MASTURI NO 4! %IMAHI $!5!71117164

OMLE" ADASU"A INDAH A74 RT $$2 RW 13 %IMAHI TEN&AH

RAYA LEUWI&AJAH NO 166 %IMAHI $22 6$427!7

T))r( N:.16 B(d*(

%)r('( "*:( N:.127 B(d*(

J'(d.I9r) Ad/)' ")r@:(d:(= N:.25"'@. B*9* B(d*(

*rCr N:.3 A(-() B(d*(

A.H. N*):( N:.6# A U/*( B'r*( B(d*(

B* B* N:.76

:/: Ur N:. 4 %)) RT $1 RW $4 "'. S')( "'@. %)) T'( $!122$$46$!$"::(' M*r) N:. 22 RT $1 RW $5 "'. %)) "'@. %)) T'(

R+ %)- "M 32 RT $1 RW 11 D' %)- "'@. %)- $!122$$46$!$

S)(d('r N:.15$ RT $2 RW $7 D. %)(C* "'@. S)(d('r $!1376516$#4

&: S*9r:: N:. 313 "'. M''r "'@. B*(*( ": B(d*(

*rCr N:. 5# RT $2 RW $1 D. T:-* "'@. dr( "9. B(d*( $!1321525437

RAYA BATUJAJAR NO 4$ %IMAREME ADALARAN& $!2115!$464#

RAYA %IBURUY NO. 6!4 ADALARAN& $22 6!$6125

&A MANULAN& URABAYA= NO 141 ADALARAN& $!2126632275


7/211

%ARIN&IN NO 5# N&AMRAH $!132$$2##46

RAYA LEMBAN& NO 3!4 $22 27!4!27

RAYA BATUJAJAR NO 254 $!5267674773

A T''-:(

A9:( N:. 7 B(d*( $!1221$4!6##

&: S*9r:: N: #6 B(d*( $!1221$4!6##

Mr('r N: 11 B(d*( $!132$21$467

H'r M( N: 152 B(d*( $!1221$4!6##W. R. S*-r( N:. 6$ $!1221$4!6##

A@' N: 5$ $!1221$4!6##

&: S*9r:: $!1221$4!6##

R+ B*//r $!1221$4!6##

L'9(

ABDURA%HMAN SALEH NO 1 BD& $!7!21!66#$1

ARIAJIAN&

Alamat Tele$on

&'d'9' S'( NO 154 $!122$#525$#

Mr)9+ L'9( $2276243653

JC N: 1 $!122365637JEND AMIR MA%HMUD 333 $!122365637

":. M*r) N: 11$ $!122365637

B"R 1!1 T'' $!122365637

#ATAN

A T''-:(

SUDIRMAN 472 ? 474 $22 6$3767#


8/211

A.H. NASUTION NO. 2$, %IBIRU, BANDUN& $!122126543

%IMINDI 242 $22 7$$#5117

"ER"O 53 LEUWI&AJAH %IMAHI $22 6674146

DIATI U"UR NO. 46 BANDUN& $22 25345$#

R+ %)9'*r'* 'r* B*) I(d B: R*: H7 %)9'*r'* %)) S'( $!2126632275

IN&UIN RAYA NO 2 "OM DADALI BANDUN& $!1223$!75$

"EBON "AWUN& NO. 43 BANDUN&

AN&&RE" NO 25 BANDUN& $227231$64

IBRAHIM AJI NO. 145 "IARA%ONDON& BANDUN& $!212#1$$$2$

RAN%ABENTAN& NO 15 %IBEUREUM %IMAHI $!122$544735

H BA"AR HUJUN& "ALER NO. 1$ $!212#1$$$2$LAN RAYA TIMUR NO. 447 %IMAHI $!1!7!5521

RH ABDUL HALIM NO 1A RT$1?$3 "EL. %I&U&UR TEN&AH $!1!6312$7

%IHANJUAN& NO ! %IMAHI $22 665$63!

L'*C)-(/( N:. 14, M*r R''(@+ B(d*(

A.Y() N:.66 6! B(d*(

B9( J'r* I N:. 31 B(d*( "'. S*) "'@ S*/d) ": B(d*(

RAYA %IATI" NO.23 "E%. %IHAMELAS BANDUN& BARAT

RAYA SINAR JAYA DS BATUJAJAR

RAYA URWA"ARTA NO 32! $!1321355!12


9/211

DA

FASKES TINGKAT PERTAMA' PUSKESMAS

N: N F)) "''(

1 UTD %)r*

2 "M S*(

3 UTD M''(d*(

4 "M %)9*(

5 UTD %)C)

6 "M B(/rr)7 "M %)-'(

! UTD %)/'r*

# "M %)9*r+*

1$ "M S*r/

11 UTD %):9:(

12 UTD Dr

13 UTD S)r()

14 UTD %):

15 "M T( Sr)

16 "M %(*rC:

17 "M "-*( M()

1! "M *rCr)

1# "M %)-*

2$ "M ":9r*21 "M Ld:(

22 "M S*r')

23 UTD R*-)(

24 "M %)@(

25 "M &:9(

26 UTD %)-'

27 "M )r


10/211

2! UTD T'(/:+

2# "M %)-' Ud)

3$ "M %))d'*( Ud)

31 "M S)* Ud)

32 "M %)9'()(

33 UTD %)9*(9*(

34 UTD )/(

35 "M %)/*/*(

36 "M %)r

37 UTD L'*C))(

3! UTD L'*C)d'(

3# "M *r'd

4$ "M Sd'(-r

41 UTD %)*d'

42 "M L'9C()

43 UTD S*/+

44 "M B*(r

45 "M ")r T(d

46 UTD J)(

47 "M %*r*

4! "M B:(

4# UTD r*( (/(

5$ UTD T'(/:

51 "M D:52 "M r R'9:

53 UTD &*(*( S)(d*r

54 "M S*)C'r

55 UTD r*(

56 UTD %)''(

57 "M %)9'*'*( Ud)

5! "M %:r'

5# UTD B:/:( &'d'


11/211

6$ UTD T/*r H(

61 "M R/+

62 "M "'*()(

63 UTD %)'*r'*-

64 "M B9( Md(

65 "M L'*C)(**

66 "M T/*r

67 "M %)/+()

6! UTD S'(*

6# UTD "'(

7$ "M R(@9*(*r

71 UTD B(r/+

72 "M J-(

73 UTD %)(d

74 "M S*r/

75 "M %)'*9*

76 "M %)9)(:(

77 UTD %)r)'r

7! "M "rd'((

7# "M 9*r( I(d

!$ UTD &*(*( *r)

!1 "M %)((

!2 "M B:/:(((

!3 UTD %)'*()!4 UTD "'-(*(

!5 "M &(d:(

!6 "M )r A()(

!7 "M B:/:(

!! UTD J:(:

!# UTD S**r

#$ "M B'9(

#1 "M S*('r


12/211

#2 "M S*d)

#3 UTD %r)*

#4 UTD T(/*( Sr)

#5 "M "r+'r

#6 UTD %r)()(

#7 "M %)(r

#! "M %)d'r*

## UTD N(*(

1$$ "M %*r* B)*(

1$1 "M "r((

": B::r

1$2 BO&OR SELATAN

1$3 %IA"U

1$4 BONDON&AN

1$5 LAWAN& &INTUN&

1$6 BO&OR TIMUR

1$7 ULO ARMYN

1$! BO&OR TEN&AH

1$# SEMUR

11$ &AN& AUT

111 BELON&

112 MERDE"A

113 SEMLA"

114 AN%ASAN115 ASIR MULYA

116 &AN& "ELOR

117 SINDAN& BARAN&

11! BO&OR UTARA

11# TE&AL &UNDIL

12$ WARUN& JAMBU

121 TANAH SAREAL

122 ONDO" RUMUT


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123 "EDUN& BADA"

124 "AYU MANIS

125 ME"ARWAN&I

": D'-:

126 "M (@:r( M

127 "M D'-: J+

12! "M R(-( J+

12# "M %)-+*(

13$ "M B'/)

131 "M "')r) M*

132 "M T( Br*

133 "M S*/+

134 "M A9d) J+

135 "M ")*+

136 "M B) J+

137 "M ) 'r)C)

13! "M D S*/+

13# "M %):d:(

14$ "M %)()

141 "M T**

142 "M T-:

143 "M J)//r

144 "M S*()

145 "M Hr/*)146 "M )r &*(*( S'(

147 "M M'rr)

14! "M %)(-

14# "M SC((

15$ "M B:/:(r)

151 "M 'd*(

152 "M D*r'( S'r)9*

153 "M '()((


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154 "M %)('r'

155 "M L):

156 "M )r *)

157 "M %IMAEUN

2 DOKTER UMUM PRAKTIK MANDIRI

N: N F)) "''(

"9 B::r

1 DR. ELIANA NAPITUPULU

2 DR TRI"ANDHA ELAN MKES

3 DR TRESNA"ULAN

4 DR. ODRIETA TOMPODUNG

5 DR. SAUDY NOORDIN

6 PRAKTEK BERSAMA ARIE JOSEPHINE

7 PRAKTEK BERSAMA ARIE JOSEPHINE 2

! PRAKTEK BERSAMA DENTI SARI

# PRAKTEK BERSAMA RETNO "ULANDARI

1$ PRAKTEK DR ARIADINI

11 PRAKTEK DR HANDY "IJAYA

12 PRAKTEK DR SUBHAN

13 R#$%&%' T&$&((#)& D)

14 N#'&e* D)

15 "#+#,u A& "&#k(/%/ D)

": B::r

16 PRAKTEK DR IRA JU"ITA

17 PRAKTEK DR OKI KURNIA"AN

1! DR SITI ROBIAH M

1# DR. HJ. SRI DANU"ATI

2$ ).Yu)#0&(#%

21 PRAKTEK BERSAMA MINARTI

": D'-:

22 DR DAHLIA


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23 DR MOHAMMAD RIKI

24 DR OPA ROANA "IHARTA

25 DR SALMA

26 PRAKTEK BERSAMA DR A.D ARITONANG

27 PRAKTEK BERSAMA DR BAMBANG PRIYANTO

2! PRAKTEK BERSAMA DR MALA AIRINA5KLINIK PROKLAMASI

2# PRAKTEK BERSAMA DR SOBARI

3$ PRAKTEK BERSAMA DR TRI MULYATI

31 PRAKTEK BERSAMA DR YANI HARYANI

32 D). H#&,#%$/ S.Ke

33 D). S6#e$ Bu)$/

34 D). Nu)u6 A&%, &$)%&

3 DOKTER GIGI/KLINIK GIGI

N: N F)) "''(

"9 B::r

1 K6&%&k D) Nu)&% "#+& 7GIGI

2 DRG MAGDALENA HARAHAP

3 DRG RIRIT DAMAYANTI

4 PRAKTEK DRG ENDANG BROTOJOYO

": B::r5 DRG EY DIANA S

6 DRG MELLYA"ATI

7 DRG SHIRLEY

": D'-:

! BP I*u T&$& 7 '&'&

# DRG NENENG PRIMIS"ATI 7DR DAHLIA

1$ DRG THESTYANA SAR"ONINGRUM 7 KLINIK DR SALMA

( KLINIK PRATAMA

(: N F)) "''(


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"9 B::r

1 KLINIK AL 9OMAR

2 BP ANNISA AULIA

3 KLINIK INSANI

4 KLINIK DR DEDI

5 KLINIK EKA MEDIKA

6 BP GRACIA

7 POLI YAYASAN DR. BETTY

! KLINIK DR IRMAN

# BP. MANDALA MEDIKA

1$ KLINIK NURDIN "AHID

11 KLINIK PELITA SEHAT 2

12 KLINIK PELITA SEHAT !

13 KLINIK 9ITA

14 KLINIK "ASPADA MEDIKA

15 BANTAR MEDIKA

16 BP AULIA MEDIKA

17 BP BUNDA MULIA

1! BP DR ALI

1# BP HARIST MEDIKA

2$ BP L:SYIA

21 BP OLYMPIC KIS22 BP PERMATA BUNDA5 DR N IIS DE"I HERLINA

23 BP PERMATA HUSADA

24 BP. BUNGA MEDIKA

25 BP. MEDISTIRA I

26 DERA AS-SYIA

27 EMMA MEDICAL CENTER II

2! KLINIK ALBAR9AH MEDIKA

2# KLINIK ASSALAM

3$ KLINIK AALIA

31 KLINIK BHADRA HUSADA


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32 KLINIK DR ROSALINA

33 KLINIK HARAPAN IBU

34 KLINIK INSANI 2

35 KLINIK MAEDENA

36 KLINIK MAHASTA

37 KLINIK PERMATA MEDIKA II

3! KLINIK RABBANI MEDIKA

3# KLINIK SAPTA MEDIKA

4$ KLINIK SHIA MEDIKA

41 KLINIK TLAJUNG

42 KLINIK YAPIDA GUNUNG PUTRI

43 PDB MAYOR OKING

44 PERMATA MEDIKA I

45 POLIKLINIK MEDISTIRA 2

46 ROBBY MEDIKA

47 RUMAH SEHAT CIKEAS

4! SUMARNO MEDIKA

4# YYS. MH.THAMRIN CIPAYUNG

5$ K6&%&k B+#k$& R#+#,u

51 BP Mu$)# N#+&;#

52 BP Me&k# Se


18/211

63 BP AM AM

64 BP. OLYMPIC

65 DR D"I MARHENI5 BP SAHABAT MEDIKA

66 KLINIK MEDIKA SARI

67 KLINIK PELITA SEHAT 4

6! KLINIK MEKAR"ANGI

": D'-:

6# BP. MELATI

7$ BP BHAKTI JAYA

71 BP PERTI"I

72 KLINIK PEKAPURAN

73 KLINIK ANNISA DUA

74 KLINIK BAHAR MEDIKA II

75 KLINIK IBU MAS

76 KLINIK MEGA KARTIKA

77 KLINIK PALA MEDIKA

7! KLINIK PALSIGUNUNG

7# KLINIK SETYA BHAKTI

!$ KLINIK TUGU SA"ANGAN

!1 KLINIK UTAMA SITI AKSAR

!2 POLI BHAKTI KERINCI

!3 POLI IBU TITI!4 K6&%&k Ae6&%#

!5 K6&%&k A>>#+)#

!6 K6&%&k T&)$# Hu(##

!7 K6&%&k Me&k# C#k)#0#6# De?/k

!! BP MELATI MEDIKA

) FASKES TKI MILIK TNI

(: N F)) "''(

"9 B::r

1 K6&%&k Y/%ke( D&@ 15K/($)#


19/211

2 K6&%&k P/(ke( 3.1.2 K#*. B/'/)

3 KLINIK PRATAMA ATANG SENDJAJA

": B::r

4 K6&%&k De%ke(,#+ 3.4.1 B/'/)

5 K6&%&k P#(?#?)e( G)u? - C

": D'-:

6 POLIKLINIK KESEHATAN ..5DEPOK

7 KLINIK DII 1 KOSTRAD

6 FASKES TKI MILIK POLRI(: N F)) "''(

"9 B::r

1 POLIKLINIK POLRES BOGOR

": B::r

2 KLINIK BHAYANGKARA

3 POLIKLINIK SAT II PELOPOR

": D'-:

4 BP POLRES KOTA DEPOK

5 OLI"LINI" SIE "ESJAS "ORBRIMOB OLRI

6 SAT"ES ASRAMA BRIMOB "ELAA DUA

! RS KELAS D PRATAMA/RUMA" #ERSALIN/#ALAI PENGO#ATAN(: N F)) "''(

FASKES TINGKAT LAN%UTAN

RUMA" SAKIT UMUM PEMERINTA"/PEMERINTA" DAERA"

(: N F)) "''(

"9 B::r

1 RS Dr. M. &:'(C( r:C)d)d:


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2 RSUD %)C)

3 RSUD %)9)(:(

4 RSUD %)'*()

5 RSUD L'*C))(

": B::r

6 RS Dr. H. Mr8:') Md) B::r

": D'-:

7 RSUD ": D'-:

RUMA" SAKIT MILIK TNI

(: N F)) "''(

"9 B::r

1 RS A( S(/+

": B::r

2 RS S

RUMA" SAKIT MILIK POLRI

(: N F)) "''(

1 RS B+(r Br):9

RUMA" SAKIT S*ASTA

(: N F)) "''(

"9 B::r

1 RSIA A(()2 RSU dr. S)d)

3 RS R* S' T'r-d* D:-' D*>

4 RS %)

5 RS M'd) Dr

6 RS Mr+ %)'*() H)/*

7 RSIA A

": B::r

! RS MI B::r


21/211

(: N F)) "''(

# RS "r+ B)

1$ RSIA M'()

11 RSIA J*)(

12 RS I B::r

": D'-:

13 RS Hr-( D'-:

14 RS T** I9*

15 RS M')) HD /=

16 RS S'(r M'd) HD /=

RUMA" SAKIT K"USUS

(: N F)) "''(

": D'-:

1 RSIA T*9* "'9(

2 RSIA H( &r A; (+ :) r* O9+(=

FASKES PENUN%ANGAPOTEK +,h-s-s PR#.

(: N F)) "''(

1 AOTE" "IMIA FARMA NO 7


22/211

FTAR FASILITAS KESE"ATAN #AGI PESERTA #P%S KESE"ATANKANTOR &A#ANG UTAMA #OGOR

A

J. R+ *(@ "M. !3 D' T** Ur "'@.%)r* B::r

"-. )r M*(@( D' S*( "'@. M''(d*( B::r

D. %)-+*( &)r( (:.1 "'@. M''(d*( B::r

J. R+ *(@ "M. !1 "'. %)r* '@. %)r* B::r

J. R+ *(@ "'@. %)C) B::r

D' B(/rr) R. 5?1 "'@. %)C) B::r J. R+ T-: D' %)-'( '@. %)C) B::r

D' T(/*( Sr) RT. #?4 N:. 421 "'@. %)/'r* B::r

J. %)9*r+* N:. 4 D' %)9*r+* "'@. %):9:( B::r

D. S*r/ "'@. %)/'r* B::r

J. R+ %):9:( N:. 65$ D %):9:( "'@. %):9:( B::r

J. R+ %)'r( D' %)'r( "'@. Dr B::r

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23/211

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24/211

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JL RAYA BOGOR SUKABUMI NO 82 CIGOMBONG

JL H E SUKMA NO 1 CIA"I 71! M PRAPATAN CIA"I

JL RAYA JKT-BOGOR CIBINONG

CICADAS GN PUTRI RT 213 KAB BOGOR

JL RAYA LEU"ILIANG "ARUNG BORONG NO 32 CIAMPEA

JALAN RAYA JAKARTA - BOGOR KM. !! DESA CIMANDALA KEC. SUKARAJA

JL RAYA KEDUNG "ARINGIN NO 4 BOJONG GEDE

JL RAYA PUNCAK CIPAYUNG ATAS NO RT 35 3 CIPAYUNG GIRANG

JL RAYA CILEBUT TIMUR RT 15 CILEBUT TIMUR

DS. CURUG RT.352 KECAMATAN GUNUNG SINDUR

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28/211

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A


29/211

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JL RAYA KLAPANUNGGAL NO 11 KAB BOGOR

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JL CAHAYA RAYA BLOK K KA"ASAN INDUSTRI SENTUL

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JL RAYA BABAKAN MADANG NO 1 RT 25 1 CITARINGGUL

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JL. RY MAYOR OKING JAYA ATMAJA NO.12 CITEUREP

JL RAYA NAROGONG KM 23 CILEUNGSI - BOGOR

JL RAYA CICADAS KM DS CICADAS GN PUTRI RT 154

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JL RAYA BOGOR KM 4. RT 15 3 NANGGE"ER MEKAR CIBINONG

ILA NUSA INDAH BLOK EE2 N !- 7MASUK HOTEL TRANSIT BOJONGKULUR GN PUTRI BOGOR

JL. RAYA PUNCAK NO.32 CIA"I BOGOR


30/211

JL RAYA JAKARTA-BOGOR KM !8 CIMANDALA BOGOR

JL RAYA CIKABON NO 18 PARUNG PANJANG

JL RY MAYOR OKING RT 152 CIRIUNG CIBINONG

KP KAMURANG RT 25 R" CITEUREUP

JL. HM. ASYHARI NO.14 A CIBINONG BOGOR

JL RAYA TAJUR NO 2 RT 1 R" 1 KP TARIKOLOT DS TARIKOLOT

JL RAYA GN PUTRI KOMP BINA MARGA BLOK A NO 143 RT 151 GN PUTRI

JL RAYA NAROGONG PANGKALAN II DS LIMUS NUNGGAL CILEUNGSI

JL BRANTA MULYA RT 25 DS KARANG ASEM TIMUR CITEUREUP

JL MERCEDE BEN NO GN PUTRI

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JL MAYOR OKING NO -G KEC CIBINONG KAB BOGOR

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JL MA"AR RAYA NO 1 DEPOK JAYAPANCORAN MAS

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JL RAYA JAKARTA BOGOR KM 3 CIMANGGIS

JL RAYA MUCHTAR NO 2 SA"ANGAN DEPOK

JL KARET HIJAU NO 1 BEJI TIMUR DEPOK

JL KERINCI I NO ! ABADI JAYA DEPOK

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JL. TEGAR BERIMAN CIBINONG KAB. BOGOR

JL KAPTEN MUSLIHAT NO 1 BOGOR

KSAT. K. S. TUBUN KEDUNG HALANG BOGOR

JL. MARGONDA RAYA NO 14 DEPOK

JL. KOMJEN POL. M. JASIN KELAPA DUA CIMANGGIS DEPOK

JL. KOMJEN POL. M. JASIN KELAPA DUA CIMANGGIS DEPOK 7 LOKASI DI RUMKIT BAYARNGKARA

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DAFTAR FASILITAS K

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51 %IAMBAR

52 &IRIJAYA

53 TE&AL BULEUD

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117 %IDAUN

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6 DR.DEIE IS"ANDAR

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61/211

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62/211

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$264!2211#1 %$26427$21# %

T''-:( "' RS

$264!3!7136 D

$264 2$2136 %

T''-:(

$264= 231!5#

$267= !45!6$1

$267= 4$2!5#

T''-:(

$264= !222633

$267= 41264$ 4$3644


83/211

T''-:(

$264= 2$75#5

$264= 3$464#

$264= 3$464#

$267= 4$5172

$267= 4$2563$267= 4$!434


84/211

DAFTAR

KA

FASKES TINGKAT PERTAMA

1 US"ESMAS(: N F)) "''(

1 "M ": "'r

2 "M S)*

3 "M &('

4 "M S*'d( S'(

5 "M S*)

6 "M J)'d'

7 "M T(/*(r)

! "M S*r)

# "M H*r N:9:(

1$ "M Mr/+11 "M R(@ ":(

12 "M *)(

13 "M T(/*('r

14 "M T(/*('dr

15 "M S*(r)

16 "M B* D*

17 "M Hr)(

1! "M S*r)(

1# "M T::

2$ "M U/*(/+

21 "M %:('(

22 "M %)

23 "M %)r*

24 "M S)*r/

25 "M %))*

26 "M Drr/

27 "M %)9*'

2! "M Wd:

2# "M J)((:r

3$ "M J)(*(

31 "M %)(*(32 "M '

33 "M SARAN&ANJAN&

34 "M SA&ALA HERAN&

35 "M JALAN%A&A"

36 "M ALASARI

37 "M "ASOMALAN&

3! "M %ISALA"

3# "M TANJUN&SIAN&


85/211

4$ "M TANJUN&WAN&I

41 "M %IRAN&"ON&

42 "M %IUNA&ARA

43 "M %IBO&O

44 "M SU"ARAHAYU

45 "M "ALIJATI

46 "M RAWALELE47 "M %IEUNDEUY

4! "M ABUARAN

4# "M RIN&"ASA

5$ "M ATO"BEUSI

51 "M RAN%ABAN&O

52 "M URWADADI

53 "M %I"AUM

54 "M A&ADEN

55 "M E&ADEN BARAT

56 "M &UNUN&SEMBUN&

57 "M %OMREN&5! "M JATIREJA

5# "M BINON&

6$ "M TAMBA" DAHAN

61 "M %I"ALAA

62 "M WANAJAYA

63 "M MANDALA WAN&I

64 "M %IASEM

65 "M JATIBARU

66 "M AMANU"AN

67 "M BATAN&SARI

6! "M USA"A NA&ARA

6# "M "ARAN&ANYAR

7$ "M LE&ON"ULON

71 "M BLANA"AN

72 "M %ILAMAYA &IRAN&

73 "M Ar-*r

74 "M B)d

75 "M B(/r(

76 "M B(r*/'

77 "M %):(

7! "M %))/)(7# "M %)(9*

!$ "M J)*/*

!1 "M J)C()

!2 "M "d)-'(

!3 "M ":(d'

!4 "M "'r/)

!5 "M L'*)

!6 "M L'*C)*(d)(


86/211

!7 "M L)*(

!! "M L:/)

!# "M M/

#$ "M M/'(

#1 "M M*

#2 "M M*(/*

#3 "M (:((#4 "M (+)()r(

#5 "M R/*

#6 "M S'd(

#7 "M S)(d(

#! "M S)(d(C()

## "M S*/)

1$$ "M S**+

1$1 "M S*9'r/+

1$2 "M T

1$3 "M Wr)()(

1$4 "M Mr/+


(: N F)) "''(

1 dr. DETI RAHMAWATI, M.H."'

2 dr. %EY TRI%AHYADI

3 dr. TAUFI" HILMANSYAH

4 dr. DILLAR &UNALAR

5 dr. LILIS "OMALA DEWI

6 dr. DARMIANA

7 dr. HERI SUHERLAN S.H., M.M., M.H."'

! dr. BHA"TIATRIA ANORA&A

# dr. ANA ERTIWI RATNA WULAN

1$ DR YANTI ISMAYANTI

11 dr. JAYADI

12 dr. EDDY HENDARMIN

13 dr. MO%HAMAD ARSYAD

14 dr. ASE WANTJANA AMIARTA

15 dr. MO"HAMAD ARIF RA"HMAN

16 dr. BA%HTIAR RIAI

17 dr. SUSILAWATI

1! dr. DWINAN MAR%HIAWATI, MARS.1# dr. MAI, S.H., M.H."'.

2$ dr. ANDRIYANO

21 dr. SU&ITTO

22 dr. H. O%E SATRIA RAHARJA

23 dr. WAHYUNI SU%I WULANDARI

24 dr. RA. DIAN WIDYA

25 dr. OYO"

26 dr. ANDRI SURATMAN


87/211

27 dr. JULIE TRIANA

2! dr. H. %HAERUDDIN, M."'.

2# DR. ALMA LU%YATI

3$ dr. HENY SETIA DEWI

31 dr. H. ASE SUANDI, M.E-)d.

32 dr. MOH. SAIFUR ROHMAN

33 dr. FIFIT FITRI A&USTINA34 dr. E&&A BRAMASTA A"IDAI

35 dr. MONAN& SE"SAMA SEMBIRIN&

36 dr. SANTI SUSANTI YUSTI"ASARI

37 dr. H/. NINA NUR AINY SYARIEF

3! dr. ASE NURLIAWAN

3# dr. H. NAZARUDIN LATIF

4$ dr. DIDIN& ZAENUDIN

41 dr. ADITYA DENIRIYANTO

42 dr. H/. YU"E UDIASTUTI S. &UFRON S., MHA.

43 dr. H/. ERNI HARLENI, MARS.

44 dr. SUMARTI45 dr. IIN INAYAH

46 dr. H. JAJAN& SETIAWAN, M"M.

47 dr.H.AUH ALIFU%HIN

4! dr.IMAN WAHYUDI

4# dr.H.HUDA &INANJAR RANOE, M.M"'

5$ dr. D)() F)r)()

51 dr. N'('( %*)C)

52 dr. HM S*9)

53 dr. SRI DEWI UTAMI

54 dr. RATIH E"A UJASARI

3 DO"TER &I&I?"LINI" &I&I

(: N F)) "''(

1 dr. Sr) H*) *r(::

2 Dr. N: T) R:')

3 dr. DJUBAEDAH A&USTINI

4 dr. NOITA AYRISARI

4 "LINI" RATAMA?BALAI EN&OBATAN

(: N F)) "''(

1 B. UMUM FITRAH "ELUAR&A2 "LINI" DANIA

3 B. UMUM UTAMA IDN

4 "LINI" ADJADJARAN

5 B. UMUM JATINAN&OR

6 "LINI" DANO

7 B. ELTI&I

! *-'' R(@''

# "LINI" "ORRI SUBAN&


88/211

1$ "LINI" "ALIJATI

11 B INSAN MADANI

12 "LINI" RAMA MEDI"A

13 "LINI" AN&"ASA?OLI RUM"IT LNDSURYADARMA

14 BALAI EN&OBATAN AMANAH

15 ")() r M)r r-(

16 "LINI" EMAN&17 "LINI" %IMAN&&UN&

1! "LINI" NURUL INAYAH

1# "LINI" AMALIA LA"SONO


(: N F)) "''(

1 :. $3.1$.1$

")() Y:()> 3$1?"S

2 :. $3.1$.$5

3 S)' S*dr:( Udr 7

4 :. $3.1$.175 S)' L(*d S. S:'()


(: N F)) "''(

1 Ur' :r' *'d(

2 :))() S9r):d -:d /9r

3 :))() B+(r) :r' S*9(

4 :r' /'(

FASKES TINGKAT LAN%UTANRUMAH SA"IT UMUM EMERINTAH?EMERINTAH DAERAH

1 (: N F)) "''(

1 RSUD "9. S*'d(

2 RSUD S*9(

3 RSUD M/'(

4 RSUD %)d'r'

RUMAH SA"IT MILI" TNI

2 (: N F)) "''(

1 RS TNI AU S*r+dr

RUMAH SA"IT SWASTA

4 (: N F)) "''(

1 RSU *C:(

2 (*( M'd)@ %'('r

3 RS M'r Ar*

4 RS TN III

5 RS"B B*d) A)


89/211

FASKES PENUN%ANG1 AOTE" RB

(: N F)) "''(

1 A-:' "RI T(d( H*d

2 A-:' %)'r'(

3 A-:' S)) A)4 A-:' A8'( Fr

3 OTI"

(: N F)) "''(

1 O-) B(d*(

2 O-) A)

3 O-) A(

4 O-) Y:)

5 O-) R)8)

6 O-) M'rd'

7 O-) 'r


90/211

ASILITAS KESE"ATAN #AGI PESERTA #P%S KESE"ATAN

KANTOR &A#ANG SUMEDANG

UPATEN/ KOTA S-me1an S-4an Ma5alen,a

A

J. S:>I( I(dr, "'@. S*'d( Ur

J. A(r'S)* N:.21, "'@. S*'d( Ur

J. R+ 11 A-r) N:.35$, "'@. &('

J. . ":r(' S*'d(, "'@. S*'d( S'(

J. 'r B') N:.116, "'@. S*'d( S'(

J. R+ LTA r( ":(d(, "'@. J)'d'

J. R* S) N:.$1, "'@.T(/*(r)

J. %)9:: N:.12, "'@.S*r)

J. S)-( r( M*(@(, "'@.*)(

J. %)** D.Mr/+, "'@. T(/*(r) J. R+ S*'d(, "'@. R(@ ":(

J. R+ *)( N:.111, "'@. *)(

J. R+ "'rrr/, "'@. T(/*('r

D. %)r, "'@. T(/*('dr

J. R+ %)-d*( S*(r) N:.$4, "'@.T(/*('r

J. R+ Dr:(d:( N:.$4, "'@. B* D*

D. Hr)(, "'@. B* D*

"'@. S*r)(

J. R+ T:: N:.43, "'@. T::

J. R+ %)/' %)*r( N:.1!$, "'@. U/*(/+

J. R+ %:('( 314, "'@. %:('(

J. R+ T(/*('r N:.72, "'@. %)

J. Ard)( N:.46, "'@. %)r*

J. R+ A*(*( S)*r/ N:.177, "'@. S)*r/

J. R+ %))*, "'@. %))*

J. R+ Br Drr/ N:.2$3, "'@. Drr/

J. %)-( %)9*' N:.42, "'@. %)9*'

J. R+ Wd: S*'d(, "'@. Wd:

J. R+ J)((:r N:.234, "'@. J)((:r

J. R+ Wd: ")r)), "'@. J)(*(

J. R+ r(*(@(S)-(, "'@. %)(*( J. R+ ' N:.1, "'@. '

J. R+ S'r(, "'@. S'r(

J. A*( *( T)*r N:. 1, "'@. S'r(

D. J( %, "'@. J( %

D. r), "'@. J( %

D. ":(, "'@. J( %

D. %), "'@. %)

J. R+ D. T(/*( S)(, "'@. T(/*()(


91/211

D. T(/*( W(), "'@. %)/9'

D. %)r(:(, "'@. %)/9'

D. T(/*( W(), "'@. %)/9'

"' %)9::, "'@. %)9::

J. R+ %)(() N:. 53 "'. "r((+r, "'@. S*9(

J. ")(( N:. 3#, "'@. ")/)

J. W(*(r'/ N:. 3#, "'@. ")/)D. %)-'*(d'*+, "'@. %)-'*(d'*+

J. r S'('( N:. 3$, "'@. 9*r(

J. S*C'r N:. !6 D. r)(-, "'@. 9*r(

J. R+ %)9'r', "'@. :9'*)

D. R(@9(:, "'@. :9'*)

D. )r9*(*r N:. 1, "'@. *rCdd)

J. R+ Tr* T)*r, "'@. %)*

J. R+ %:-r'( "'. d'(, "'@. d'(

D. M*(/*, "'@. 'd'(

D. J)r'/, "'@. d'(

J. R+ %:-r'(, "'@. %:-r'(D. J)r'/, "'@. %:-r'(

J. Tr* T)*r N:. 17, "'@. B)(:(

D. T9d(, "'@. B)(:(

J. N*r+ "' B)(:(, "'@. B)(:(

Wr*( %'(d:, "'@. T9d(

J. R+ %)', "'@. %)'

J. A. Y() N:. %)' N:.63 "' %)', "'@. %)'

D. J) Br*, "'@. %)'

J. J:( Mr) N:. 3$, "'@. (*(

J. (*( " !.41, "'@. (*(

J. R+ * %)r'9:(, "'@. * Nr

J. R+ %)r'9:(, "'@. * Nr

D. L':(*:(, "'@. L':(*:(

D. B((, "'@. B((

D. %)+ &)r(, "'@. B((

J(.S)*r') D' S*r) ")d*

J. Mr:-( D' B)d

J.R+ 9(/r( N:.$2

J(.S))C() N:.13

J(.R+ T:(/:("*(* "M.4,5

J(.R+ "*r) N:.2# J.R+ %)(9* N::r 4$

J(.")9* R()( N:.33

J.L(*d S.S*() N:.1

J(.S))C() N:.$1 "d)-'(

J.R+ &*(*(r) N:.1

J.D' "'r/)

J."''( N:.45

J.R+ Ur L'*C)*(d)( N:.54


92/211

J.L)*( R+ L:r

J.R+ L:/)/)C() N:.52

J. *( S)(d() N:. ! "9. M/'( 45461

J(.Ad "** N::r 413

J.R+ "'r9r/ N:.26

L)(. M*(/* RT. $2 RW. $3 "'*r( M*(/*

J(.D' (:(( N:.2 J.S))C() N:.62

J.Y*d-) N:.$5

J(.('r( M*d

J.J:/ "'@) N:.3!

J. D' S)(d(C() D' S)(d(C()

J(.('r( M*d N:.31

J(. "( "r:(: N:. 2 D' S**+

J(.R+ r-(R/* N:.12

J(.J'(d'r Ad Y() N:.21

J.R+ Wr)()( N:.1!!

D**( )r(/ D' Mr/+

A

J. ('r( ":r(' RT $5 RW $!, "9. S*'d(

J. D(. %)'9:( RT $3 RW $6, "9. S*'d(

J. R+ B*d* RT $1 RW $3, "9. S*'d(

J. T'r*( "*+ N:. #5, "9. S*'d(

J. M+:r A9d*r( N:. 365, "9. S*'d(

J. r9* &'*( U*( N:. 55, "9. S*'d(

J. R+ S)*r/ N:. 16$, "9. S*'d(

D( (( RT.$2 RW.$5 D' NrC() R(@:( 45361

J. R+ T(/*(r) N:. 374, "9. S*'d(

AOTE" AJAJI, JL .&EUSAN ULUN NO 176 SUMEDAN&

J. ". "r/( RT 15 RW $4 "AB. SUBAN&

J. '9*( "'rC)'(d= N:. 74 RT $1 RW $1 "AB. SUBAN&

J. R+ J(@ RT $3 RW $1 "AB. SUBAN&

J. H*'( "'rd)9r N:. 75 RT $1 RW $1, "AB. SUBAN&

J. &( H*) RT 22 RW $3 , "AB. SUBAN&

J. R+ T(/*(r N:. 4# RT $2 RW $6 , "AB. SUBAN&

J. r*( &)r( RT 23 RW $#, "AB. SUBAN&

J. R+ %)(() N:. 5$ RT $$5 RW $$2 , "AB. SUBAN& J. D' R(@*d) RT $# RW $2T, "AB. SUBAN&

J. R+ %)d* N:. # RT $3 RW $1, "AB. SUBAN&

J. &r)+ %)(() Ar) A! RT 14 RW $5, "AB. SUBAN&

J. D**( Wr*( N( RT $3 RW $5, "AB. SUBAN&

J. 'r* S*r+ %)d*( B: B N:. 1#A RT 34 RW $!, "AB. SUBAN&

J. R+ A*(*( %) RT $4 RW $2, "AB. SUBAN&

J. Lr(, d' J)r'/ RT $1 RW $6 , "AB. SUBAN&

J. %)/'(: RT 15 RW $! , "AB. SUBAN&


93/211

J. A*(*( Br RT $# RW $3 , "AB. SUBAN&

J. D' S'9*( II RT $5 RW $3, "AB. SUBAN&

JL ION MARTASASMITA SUBAN&

J. R+ %))/)(

A-:) S' J. "''( N:. 146 "'*r( M/'( W'(

A-:) %)d'r' Fr, J. R+ %)d'r' N:. 16A D' %)-*

D**( Y*dC@( RT. 11 RW. $6 N:. 27 D' )((r/:r' M/'(, J. "H. A9d* H) N:. 51! M/'(

A-:) */) L'r), J. B9( JC N:. 21 "'*r( M/'( W'(

&( N* N:. 711 &:rd

A-:) %AHAYA SEHAT, J. "H. A: N:. 1$ B: :( D' R/*

B: S' RT. 17 RW. $# D' J)*/*

B: S'()( RT. $1 RW. $1 D' M/ Ur

R* D)( UTD "M M/, J. B*) B*(*r D' M/ S'(

B) '(:9( OZORA MEDI%A,J. (/)( RT. $! RW. $1 D' B)+C

J. "''( N:. 1$4 "'*r( M/'( W'(

A-:) SEHATI,J. BrC)/+ N:. 2 RT. $1 RW. $1 D' DC*(

J. '*r'*( N:. 7$ RT. $1 RW. $7 D' S*C()B: A' S*, D' U/*(9'r*(

'r* "RIBTN A(d)r RT.$1 RW.$3 D' "r+*)

J.R+ T)*r N::r 43! RT.$1 RW.1$ D' %)9:'r(

B: R9* RT.$$2 RW.$$6 D' B)d

J.R+ r-(R/* D' ()()r(

J. D**( M* "'r

J. D**( &:rd RT $3

J. L)( M'r/+

J. S)) Ar) N:. 43 RT. $4 RW. $4 "'*r( M/'( "*:(

A-:' S*9'r S', J. L(*d S. S:'() N:.56

A

J. ('r( ":r(' N:. 143, "9. S*'d(

J. R+ T(/*(r) N:. 374, "9. S*'d(

J.S* N::r 21# RT.$$1 RW.$$6 "'*r( M/'( W'(

A-:) FAMILI, J. ".H. A9d* H) N::r 221 M/'(

A

J. //r( RT $1 RW $1, "9. S*'d( J. %):( L(d'* RT $2 RW $1, "9. S*'d(

J. R+ J)((:r ". 2$ S*'d(

J. R+ B(d*( S*'d( ". 21, "9. S*'d(

J. R+ J)((:r N: 1#6, "9. S*'d(

J. r9* T/)' %2!, "9. S*'d(

'r* &r)+ r) A Ar) B: B N:. 2

J. R+ R(@'' "M.27 RT.$$1?$$2 D' S)(d(-*:( "'@.%)(*(

J. O) N:. 165 RT 5! RW 15 "'. "ARAN&ANYAR "AB. SUBAN&


94/211

J. R+ ")/) T)*r N:. 1#! RT $7 RW $2 "AB. SUBAN&

JL RAYA SUBAN&%I"AMURAN& "M.12 "E%. %IBO&O

DS. JURUTILU NO.72 RT.12?$6 %IASEM

JL RAYA "ALIJATI SUBAN&

J. J'(d. S*d)r(

J.R+ r r-( N:.1$# RT.$# RT.$3 D' (/)( ")d*

J. E-( N:. 11 RT $4 RW $7, "9. S*'d( J. M(9+ %)(*( N:. 46, "9. S*'d(

J. A(*r R+ N:.!?1$ RT.35 RW.15 'r*( "'. S*'( "'@. S*9( "9. S*9(

J. 9*( (:.72 RT.1$ RW.$2 "'. S*'( "'@.S*9(

A

J. S*r+ A/, S*'d(

J. T(/*( "'r

J. M+/'( S*:+: N:.27

J. R+ T:(/:(

A

J. r9* &'*( U*( N:. 2

J. ":. A@d S+ N:. 17 A

J. M+/'( S*:+: N:. 2#

J. "H. A9d* H) N:.51!

A

J. r) N:. !$, S*'d(

J. Br)/'( ": N:.37 S*9(

J. "''( N:.77 M/'(

J. R+ %)d'r' "d)-'( N:. 1!$ B:/:( %)d'r' "'@. DC*(

A

J. R+ )/) "9. S*9(

A

J. Rd. D'C) Sr) N:. 17 S*'d(

J. R+ R(@r) "M.4 (*( S*9( 41254

J. R+ Sd( S*9(

J. O: I(drd)( N:.1

J. R+ M/'( "d)-'( "M.7 N:.!4


95/211

A

J. r) N:. !$ S*'d(

J. Br)/'( ": N:.31 S*9(

J. "H. A9d* ) N:. 373 M/'( J. R+ %)d'r' d)-'( N:. 16 A %)-* %)d'r'

A

J. r9* &'*( U*(

J. Rd. D'C) Sr) N:.$2 S*'d(

J. M+:r A9d*r( N$.166

J. A. Y() N:. 3

J. O: I(drd)( S*9(

J. ".H. A9d* H)

J. R+ %)@d N:.163 J)C() M/'(


96/211

T''-:(

$261= 2$3$7!

$261= 2$4525

$261= 2$2114

$261= 2$3346

$261= 2$6#47

$22= 7#1131!

$!132116$!$5

$22= 7#11257

$22= 7#127#1$261= 2$7!34

$22= 7#11#27

$!5222!45253

$26$= 74!2416

$261= 2$7#7$

$261= 2$5671

$261= 2$4361

$!13224#6!15

$233= 661671

$261= 2$52!$

$261= 2$563$

$261= 2$2623

$261= 2$417!

$261= 2$5$32

$261= 2$7434

$261= 2$5262

$262= 431#!1

$262= 42!4$1

$22= 77#6143

$261= 2$!246

$22= 7!$271$261= 2$34!7

$!52215$47!7

$26$= 47$41$

$26$= 47$11!

$26$= 47$551

$26$= 4!1445

$26$= 4!$7$!

$26$= 4!$3#1


97/211

$26$= 422352

$!17#2!1175

$26$= 74547$4

$26$= 415#64

$26$= 42$$#$

$26$= 461643

$26$= 416!15$26$= 7132#$

$26$= 711722

$26$= 71$7$7

$26$= 71$35!

$26$= 52$551

$26$= 74#1$$1

$26$= 45$673

$26$= 451$27

$!12147#!11

$26$= 45$775

$26$= 55$4#6$!13244$$6##

$26$= 45132#

$26$= 5417#7

$26$= 42$!!7

$26$= 541#26

$26$= 52$!$4

$26$= 52$666

$!157223#2!!

$26$= 551212

$!132437344#

$26$= 551447

$26$= 55$6!2

$!52214333$$

$26$= 52$!$1

$26$= 522415

$!52#55#!42$

$233= !!34#$

$!12216533#$

$!1324177217

daftar faskes divre v 070214

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