Pancho - PAN-ONE-68

Code: PAN-ONE-68
Mercy ID: V-00097-02
Encounter Date: 02/08/2000
Last: Pano
First: Onesimo
DOB: 08/28/1968
County: Dekalb
Street: 1411 N. Cliff Valley Way Apt. D
City: Atlanta
State: GA

Zip

30319-

Home

(404) 325-9899

Cell

(404) 671-6390

Family Status

Two parent family w/children

COB

Mexico

Gender

Male

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	N/A	N/A	N/A
Father	N/A	N/A	N/A
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: N/A
Name of School: N/A
Grade: N/A
Who Can't Pickup the Child
Authoritation Parent: No
Authoritation Child: No
DOY PERMISO: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: R. Miranda
Data Entry: D. Gomez