Pancho - ARE-ORD-51

Code: ARE-ORD-51
Mercy ID: B-00005-01
Encounter Date: 01/15/1998
Last: Arellano
First: Ondina
DOB: 01/11/1951
County: Gwinnett
Street: 4281 Pleasant Lake Village
City: Duluth
State: GA

Zip

30096-

Home

(770) 813-9954

Family Status

Unknow/Unreported

COB

Mexico

Gender

Female

Housing

Other

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	N/A	N/A	N/A
Father	N/A	N/A	N/A
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: N/A
Name of School: N/A
Grade: N/A
Who Can't Pickup the Child
Authoritation Parent: No
Authoritation Child: No
DOY PERMISO: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: J. Perez
Data Entry: K. Aleman