Pancho - AGU-DIE-73

Code: AGU-DIE-73
Mercy ID: V-00151-02
Encounter Date: 03/28/2000
Last: Aguilar
First: Diego
DOB: 07/20/1973
County: Fulton
Street: 532 Clive land Ave Apt 34
City: Atlanta
State: GA

Zip

30315-8022

Home

(404) 305-0768

Family Status

Adult coupie-no children

COB

Cuba

Gender

Male

Housing

Not Homeless

Education Level

High school graduate

Home Owner

YES

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