Code
AYA-JOS-99
Mercy ID
B-00028-01
Last
Ayala
First
Josefina
DOB
08/13/1999
County
Not given
House
(770) 931-5922
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
AYA-JOS-99 08/13/1999 Other J. Manzo Telephone K. Aleman