Code
ROD-BRU-06
Mercy ID
V-02146-23
Last
Rodriguez
First
Bruce
DOB
11/11/2006
County
Gwinnett
House
(770) 676-9317
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
ROD-BRU-06 01/03/2007 Intake J. Manzo Face to face J. Manzo