Code
URB-JOS-79
Mercy ID
V-00777-02
Last
Urbina
First
Jose
DOB
11/01/1979
County
Dekalb
House
(678) 725-8896
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
URB-JOS-79 12/18/2001 Intake F. Perez Telephone K. Aleman
URB-JOS-79 12/18/2001 Information F. Perez Telephone K. Aleman
URB-JOS-79 12/18/2001 Appointment F. Perez Telephone K. Aleman