Contact Information | |
---|---|
First Name | shelly |
Last Name | deemer |
Address | 4852 westchester drive |
City | traverse city |
State | MI |
Province | |
Zip/Postal Code | 49684 |
Country | United States |
Home Phone | 231 - 6202007 |
Work Phone | - |
Fax | |
msjdgal@aol.com | |
Alternate Email | |
Website Address | |
Gender | Female |
Injury Information | |
The injured person is | Child |
Name of Injured | jesse - deemer |
Date of Injury | 08/07/2008 |
Type of Injury | Traumatic |