Code
QUI-MAR-89
Mercy ID
V-00053-11
Last
Quiros
First
Maria daniela
DOB
12/10/1989
County
Not given
House
(770) 562-9297
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
QUI-MAR-89 01/03/2000 Intake J. Manzo Telephone D. Gomez