Code
DEJ-LUI-99
Mercy ID
V-00627-21
Last
De jesus
First
Luis
DOB
05/05/1999
County
Gwinnett
House
(770) 381-7151
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
DEJ-LUI-99 08/08/2001 Intake K. Aleman Face to face K. Aleman