Code
VAR-KEV-00
Mercy ID
V-00653-21
Last
Vargas diaz
First
Kevin
DOB
12/03/2000
County
Gwinnett
House
(770) 923-6724
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
VAR-KEV-00 09/05/2001 Intake K. Aleman Face to face K. Aleman