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School Age-vaccinations

Monday, September 12 2022

Date of Appointment: 09/12/22

Appointment Time: 9-2pm (specific time unknown)

Pickup Address: 4699 Fossil Vista Drive #8210 Haltom City, TX 76137

Facility and Doctor Name/Adress: Pediatric Mobile Clinic

Address: Waverly Park Elementary, 3604 Cinamaron Trail, Fort Worth TX 76116 (Blue Bus)

Documents Needed: Picture ID, Previous Vaccination Records

Estimated time of entire appointment: 1-1:30 hrs

Full Client Name (s), Gender and Birthday: Brillant Irakiza, Male, 05/10/2016

How Many Adults/Children:

2. One Parent and one child

Case Worker name and number for volunteer questions:

Stuart Robinson 682-325-9855

9:00am - 2:00pm
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