Demographics
DOB: Jul 22, 1948
Sex: F
Status: active
Email: j.derosier@earthlink.net
Mobile: 5033637593
Home: 5033637593
Department: WEST SALEM
Primary Provider: —
Last Synced: May 27, 2026, 11:39 AM
Address: 1173 31st Ct NW, SALEM, OR, 97304
Allergy (2)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Allergy | Jan 1, 2022 | — | |
| Allergy | Jan 1, 2022 | — |
Vital (7)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | May 4, 2022 | — | |
| Vital | May 4, 2022 | — | |
| Vital | May 4, 2022 | — | |
| Vital | May 4, 2022 | — | |
| Vital | May 4, 2022 | — | |
| Vital | May 4, 2022 | — | |
| Vital | May 4, 2022 | — |
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