Code
MED-CRI-98
Mercy ID
V-02883-21
Last
Medrano
First
Cristian
DOB
10/09/1998
County
Gwinnett
House
(770) 904-4970
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
MED-CRI-98 09/03/2008 Intake F. Gomez Face to face J. Manzo