Contact Information | |
---|---|
First Name | kim |
Last Name | lentini |
State | NV |
Work Phone | - |
Fax | |
kjlentini@hotmail.com | |
Alternate Email | |
Website Address | |
Gender | Female |
Injury Information | |
The injured person is | Self |
Name of Injured | kim - lentini |
Date of Injury | 07/01/07 |
Type of Injury | Traumatic |