
First Name
Annette McLaughlin
Last Name
Doe
Date of Birth
1962-01-31
Gender
Male
Phone Number
(537) 561-6846
Insurance Provider
Steuber and Sons
Patient ID
8424
Emergency Contact
Jane Doe (+1 987 654 3210)
Street Address
123 Main St, Apt 4B
City
Denver
State/Province
Colorado
Zip Code
80202
Country
United States
Emergency Contact Address
456 Elm St, Apt 10C, Denver, CO