| Contact Information | |
|---|---|
| First Name | Corey |
| Last Name | Ferguson |
| Address | 263 Estelle Avenue |
| City | Willowdale |
| State | |
| Province | Ontario |
| Zip/Postal Code | |
| Country | Canada |
| Home Phone | (416 - 222-1424 |
| Work Phone | (416 - 222-1424 |
| Fax | (416) 225-4451 |
| coreyferguson401@yahoo.ca | |
| Alternate Email | info@feronaudio.com |
| Website Address | |
| Gender | Male |
| Injury Information | |
| The injured person is | Self |
| Name of Injured | Corey - Ferguson |
| Date of Injury | 11/26/53 |
| Type of Injury | Obstetric |