| Contact Information | |
|---|---|
| First Name | Scott |
| Last Name | White |
| Address | 4500 South Lancaster Road (181) |
| Dallas V.A. Medical Center | |
| City | Dallas |
| State | TX |
| Province | |
| Zip/Postal Code | 75216 |
| Country | United States |
| Home Phone | 214 - 302-1886 |
| Work Phone | 214 - 893-9636 |
| Fax | |
| sew3fan@msn.com | |
| Alternate Email | sew3fan@yahoo.com |
| Website Address | |
| Gender | Male |
| Injury Information | |
| The injured person is | Self |
| Name of Injured | Scott - White |
| Date of Injury | 06/11/06 |
| Type of Injury | Traumatic |