Contact Information | |
---|---|
First Name | NATALIE |
Last Name | CHANT |
Address | 71 LAUTERBACH DRIVE |
City | GOSNELLS |
State | |
Province | WESTERN AUSTRALIA |
Zip/Postal Code | 6110 |
Country | Australia |
Home Phone | 08 - 93989211 |
Work Phone | 08 - 94902777 |
Fax | |
nataliechant@optusnet.com.au | |
Alternate Email | |
Website Address | |
Gender | Female |
Injury Information | |
The injured person is | Child |
Name of Injured | JAKE - CHANT |
Date of Injury | 28/09/1996 |
Type of Injury | Obstetric |