Code
BUS-EDG-01
Mercy ID
V-01244-21
Last
Bustos
First
Edgar
DOB
11/08/2001
County
Fulton
House
(770) 640-9001
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
BUS-EDG-01 07/09/2003 Intake Y. Garcia Face to face K. Aleman