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I've been in IT for 6 years now with a hospital. Get your foot in the door by doing an internship. You'll be surprised how much stuff you just instinctively get. No certifications for me just experience, but I am studying for the security+ certification.
The class was like $2k+ for a $300 test, so I just got a book instead. A class would help, but I can take the test like 7 times and still be ahead this way.
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