| Contact Information | |
|---|---|
| First Name | Giuliano |
| Last Name | Fugazza |
| Address | VIA MARTIRI LIBERT À 11 |
| City | Ventimiglia |
| State | |
| Province | |
| Zip/Postal Code | 18039 |
| Country | Italy |
| Home Phone | 329 - 4921188 |
| Work Phone | - |
| Fax | |
| epfuga@tin.it | |
| Alternate Email | giuliano.fugazza@poste.it |
| Website Address | www.plessobrachiale .it |
| Gender | Male |
| Injury Information | |
| The injured person is | Self |
| Name of Injured | Giuliano - Fugazza |
| Date of Injury | 22/05/04 |
| Type of Injury | Traumatic |