| Contact Information | |
|---|---|
| First Name | Judy |
| Last Name | Simonson |
| Address | 2317 Midway Ave NE |
| City | Canton |
| State | OH |
| Province | |
| Zip/Postal Code | 44705 |
| Country | United States |
| Home Phone | 330 - 309-1555 |
| Work Phone | - |
| Fax | |
| stony450@sbcglobal.net | |
| Alternate Email | |
| Website Address | |
| Gender | Female |
| Injury Information | |
| The injured person is | Self |
| Name of Injured | Judy - Simonson |
| Date of Injury | 02-05-1958 |
| Type of Injury | Obstetric |