| Contact Information | |
|---|---|
| First Name | JIM |
| Last Name | HANSON,RN |
| State | UT |
| buzzard@netulink.com | |
| Alternate Email | |
| Website Address | |
| Gender | Male |
| Injury Information | |
| The injured person is | Self |
| Name of Injured | JIM - HANSON,RN |
| Date of Injury | 011007 |
| Type of Injury | Traumatic |