Jerry Ali

KAISER PERMANENTE庐 
 Jerry Ali 
 MRN: 110754075875, D.O.B: 1989/28/05, Sex: 
 F 
 SSN: xxx-xx-3754 
 Visiting Date: 2016/01/06
 2019/01/06 - Telephone in ADULT AND FAMILY MEDICINE (continued) 
 Clinical Notes (continued) 
 Status: Signed 
 Editor: Clark, Juliana Elizabeth (M.A.) (MEDICAL ASSISTANT) 
 ELECTRONICALLY SIGNED BY Clark, Juliana Elizabeth (M.A.) at 2016/31/05 9:44 AM 
 Telephone Encounter by Clark, Juliana Elizabeth (M.A.) at 1/13/2011 0944 
 Version 1 of 1 
 Author: Clark, Juliana Elizabeth (M.A.) 
 Service: - 
 Author Type: MEDICAL ASSISTANT 
 Filed: 1/13/2011 9:44 AM 
 Date of Encounter: 2016/20/04 
 Creation Time: 1/13/2011 9:44 AM 
 Status: Signed 
 Editor: Clark, Juliana Elizabeth (M.A.) (MEDICAL ASSISTANT) 
 Generated on 4/12/22 10:33 AM 
 000564 
 0563
