Contact Information
First Name joselline
Last Name miro
Address 411 e washington st apt 1
City West Chester
State PA
Zip/Postal Code 19380
Country United States
Home Phone 484 - 888
Work Phone 8397 -
Alternate Email
Website Address
Gender Female
Injury Information
The injured person is Self
Name of Injured joselline - miro
Date of Injury 05/16/2008
Type of Injury Traumatic