Demographics
DOB: Jan 9, 1979
Sex: M
Status: active
Email: —
Mobile: 5036890672
Home: 5036890672
Department: WEST SALEM
Primary Provider: Ellen Prairie
Last Synced: May 26, 2026, 10:59 AM
Address: 4010 Ibex St NE, SALEM, OR, 97301
No clinical chart records found.
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File: DIAZ ALTAMIRANO, Erasmo
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