| Contact Information | |
|---|---|
| First Name | Angel |
| Last Name | Tavares |
| Address | Sargento Cabral 2459 |
| City | Montecarlo |
| State | |
| Province | Misiones |
| Zip/Postal Code | 3384 |
| Country | Argentina |
| Home Phone | 0375 - 480526 |
| Work Phone | 0375 - 480208 |
| Fax | 03751-480526 |
| angeltav@arnet.com.ar | |
| Alternate Email | |
| Website Address | |
| Gender | Male |
| Injury Information | |
| The injured person is | Child |
| Name of Injured | Juan Pablo - Tavares |
| Date of Injury | 06/29/04 |
| Type of Injury | Obstetric |