Contact Information | |
---|---|
First Name | Angela |
Last Name | Archer |
Address | 7117 Mossy BankTrail SE |
City | Owens Cross Roads |
State | AL |
Province | |
Zip/Postal Code | 35763 |
Country | United States |
Home Phone | 256 - 536-5876 |
Work Phone | 256 - 881-1100 |
Fax | |
archer_a@bellsouth.net | |
Alternate Email | |
Website Address | |
Gender | Female |
Injury Information | |
The injured person is | Child |
Name of Injured | Brandon - |
Date of Injury | 01/15/97 |
Type of Injury | Obstetric |