Contact Information
First Name Nate
Last Name Hagen
Address 9025 N. 325th Street
 
City Wheeler
State IL
Province
Zip/Postal Code 62479
Country United States
Home Phone 618 - 554-2771
Work Phone 618 - 783- 3718
Fax
Email hagens1@netzero.net
Alternate Email
Website Address
Gender Male
Injury Information
The injured person is Self
Name of Injured Nate - Hagen
Date of Injury 02/07/1973
Type of Injury Obstetric