Code
MAR-LUZ-90
Mercy ID
V-00349-11
Last
Marin
First
Luz
DOB
05/12/1990
County
Gwinnett
House
(678) 376-9146
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
MAR-LUZ-90 01/15/2003 Intake Y. Garcia Face to face K. Aleman