PIN-GIL-60
- Code
- PIN-GIL-60
- Mercy ID
- V-00269-02
- Encounter Date
- 08/23/2000
- Last
- Pineda
- First
- Gilberto
- DOB
- 04/06/1960
- County
- Other
- Street
- n/a
- City
- n/a
- State
- GA
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
NOTES
Media
NO DOY PERMISO
- Intake
- F. Perez
- Data Entry
- D. Gomez