| Contact Information | |
|---|---|
| First Name | Nylene |
| Last Name | Headbird |
| Address | 419 Pine Ave. So |
| City | Sandstone |
| State | MN |
| Province | |
| Zip/Postal Code | 55072 |
| Country | United States |
| Home Phone | 320 - 245-0241 |
| Work Phone | 320 - 245-0241 |
| Fax | |
| nheadbird@hotmail.com | |
| Alternate Email | sexynyny@iwon.com |
| Website Address | |
| Gender | Female |
| Injury Information | |
| The injured person is | Child |
| Name of Injured | Keira - Davis |
| Date of Injury | 11/30/05 |
| Type of Injury | Obstetric |