Code
AUS-CAR-62
Mercy ID
V-00194-02
Last
Austria
First
Carmelo
DOB
10/03/1962
County
Fulton
House
(404) 459-0754
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
AUS-CAR-62 01/01/1999 Intake F. Perez Face to face J. Manzo