Demographics
DOB: Dec 14, 1992
Sex: F
Status: active
Email: Phoenixwinesc@gmail.com
Mobile: 4253142604
Home: 4253142604
Department: SOUTH SALEM
Primary Provider: —
Last Synced: Jun 17, 2026, 2:13 PM
Address: 2832 River Rd S, SALEM, OR, 97302
Allergy (1)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Allergy | Sep 15, 2021 | — |
Problem (7)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Problem | Jun 26, 2025 | — | |
| Problem | Jun 26, 2025 | — | |
| Problem | Jun 26, 2025 | — | |
| Problem | Jun 26, 2025 | — | |
| Problem | Jun 26, 2025 | — | |
| Problem | Jun 26, 2025 | — | |
| Problem | Jun 26, 2025 | — |
Vital (3)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Jun 26, 2025 | — | |
| Vital | Jun 26, 2025 | — | |
| Vital | Jun 26, 2025 | — |
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File: WINES-CULLIGAN, Phoenix
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