Demographics
DOB: May 15, 2002
Sex: M
Status: active
Email: datblessedyoungin@gmail.com
Mobile: 9712670203
Home: 9712670203
Department: WEST SALEM
Primary Provider: Emma Stacey
Last Synced: Jun 17, 2026, 2:13 PM
Address: 2501 Feather Fire Ave NW, SALEM, OR, 97304
Allergy (1)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Allergy | — | — |
Vital (7)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Nov 3, 2025 | — | |
| Vital | Nov 3, 2025 | — | |
| Vital | Nov 3, 2025 | — | |
| Vital | Nov 3, 2025 | — | |
| Vital | Nov 3, 2025 | — | |
| Vital | Nov 3, 2025 | — | |
| Vital | Nov 3, 2025 | — |
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File: WANG, Jackson
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