| Contact Information | |
|---|---|
| First Name | Sandy |
| Last Name | Mitchell |
| Address | 906 S 5th |
| City | Marlow |
| State | OK |
| Province | |
| Zip/Postal Code | 73055 |
| Country | United States |
| Home Phone | 580 - 658-6577 |
| Work Phone | - |
| Fax | |
| bmitc341@sbcglobal.net | |
| Alternate Email | |
| Website Address | |
| Gender | Female |
| Injury Information | |
| The injured person is | Child |
| Name of Injured | Brenley - Mitchell |
| Date of Injury | 04-04-2000 |
| Type of Injury | Obstetric |