CRU-PED-56
- Code
- CRU-PED-56
- Mercy ID
- B-00048-02
- Encounter Date
- 06/03/1998
- Last
- Cruz
- First
- Pedro
- DOB
- 06/26/1956
- County
- Dekalb
- Street
- 4391 Highland Rd.
- City
- Decatur
- State
- GA
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
NOTES
Media
NO DOY PERMISO
- Intake
- F. Perez
- Data Entry
- K. Aleman