| Contact Information | |
|---|---|
| First Name | Kristie |
| Last Name | Horn |
| Address | 63319 Wildahl Rd |
| City | Coos Bay |
| State | OR |
| Province | |
| Zip/Postal Code | 97420 |
| Country | United States |
| JKHorn2@gmail.com | |
| Alternate Email | |
| Website Address | |
| Gender | Female |
| Injury Information | |
| The injured person is | Child |
| Name of Injured | Jillian - Horn |
| Date of Injury | 09/13/2006 |
| Type of Injury | Obstetric |