EHR

Mr. PETER IBEOTH

Age 69 Years

Stand by

Registration Date 11-02-2023

Chart ID 27384D6

High Risk

DOB 07-23-1957 (66 years)
Gender Female
Phone +1-212-456-7890
Provider B.Clark MS

Enrolment Type Community - Non Dual Aged
Email ka@email.com
Provider B.Clark MS

INS Name Medical Health Insurance
INS ID 14XE-YT78-8907
Risk Score -

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Location

BW New York City, USA, 89018

Provider

Dr. B Clarkl MD

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