Contact Information | |
---|---|
First Name | James |
Last Name | Appello |
State | OH |
Work Phone | - |
Fax | |
jappello@fuse.net | |
Alternate Email | |
Website Address | |
Gender | Male |
Injury Information | |
The injured person is | Self |
Name of Injured | James - Appello |
Date of Injury | 12/04/04 |
Type of Injury | Traumatic |