Mary Jordan

 
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 11 
 TRI VALLEY ORTHOPEDIC . 4386 Willow Road, PLEASANTON CA 93888-8384 
 FOSTER, Edward (id #338138, birth date: 09/99/11) 
 Date of Encounter: 02/22/07 
 Patient 
 Name 
 Mary Jordan (41yo, M) ID# 
 Appt. Date/Time 
 29/14/11 03:40PM 
 323812 
 birth date 
 09/99/11 
 Service Dept. 
 TRACY OFFICE 
 Provider 
 SEAN DOUGHERTY, DPM 
 Insurance 
 Med Worker's Comp: CORVEL - CRUM AND FORSTER 
 Chief Complaint 
 Right Ankle pain 
 Patient's Care Team 
 Insurance Adjuster (Worker's Comp): LETICIA BAILON: Ph (738) 238-1381, Fax (838) 6238-6381 
 Medications 
 Reviewed Medications 
 atorvastatin 20 mg tablet 
 10/04/17 filled 
 038038 
 0381
