Code
AGU-BAS-95
Mercy ID
V-00224-11
Last
Aguirre
First
Basti
DOB
05/18/1995
County
Fulton
House
(404) 351-6914
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
AGU-BAS-95 06/07/2000 Intake K. Aleman Face to face K. Aleman