Code
RAM-LUI-04
Mercy ID
V-01660-21
Last
Ramirez
First
Luis a
DOB
07/14/2004
County
Fulton
House
(404) 605-0269
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
RAM-LUI-04 08/25/2004 Intake Y. Garcia Face to face K. Aleman