| Contact Information | |
|---|---|
| First Name | VALERIE |
| Last Name | CAMPOS |
| Address | 2604 PALOMAR PL |
| City | ROSWELL |
| State | NM |
| Province | |
| Zip/Postal Code | 88203 |
| Country | United States |
| Work Phone | - |
| Fax | |
| www.m_corazon07@yahoo.com | |
| Alternate Email | |
| Website Address | |
| Gender | Female |
| Injury Information | |
| The injured person is | Child |
| Name of Injured | YOSELYN - CAMPOS |
| Date of Injury | 03/05/2008 |
| Type of Injury | Obstetric |