Code
VEL-LUI-02
Mercy ID
V-01186-11
Last
Velez
First
Luisa
DOB
08/12/2002
County
Gwinnett
House
(678) 473-1360
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
VEL-LUI-02 04/16/2003 Intake Y. Garcia Face to face K. Aleman