| Contact Information | |
|---|---|
| First Name | barbara |
| Last Name | white |
| Address | 22042 waltz rd |
| City | new boston |
| State | MH |
| Province | |
| Zip/Postal Code | 48164 |
| Country | -- |
| Work Phone | - |
| Fax | |
| cyberdan@charter.net | |
| Alternate Email | |
| Website Address | |
| Gender | Female |
| Injury Information | |
| The injured person is | |
| Name of Injured | alexandra - marano |
| Date of Injury | 04/18/2000 |
| Type of Injury | Obstetric |