Agenda - 02-17-2004-9e2 - Laserfiche WebLink

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_., Applicant Interest Listing Adult Care Home Cornmttnity Advisory Concnzittee Ms. Alm Chamberlin ?329 Palls Dr Chapel }lilt NC 27514 Shills: 6 A Psychology Skills; Glcmenmry School Reader Volunteer Skills: M I' T UNC School of Medicine Skills: Physical Therapist Skills: Program Coordinator Ms. Laurin Easthom 305 Rmvc Rout Chapel Fiill NC 27516 Skills: Dentist by Boatd Name and by Applicant Name Contact Pelson: Contact Phone: Day Phone: 919-383-8105 Evening Phone: 919-383-8105 FAR: E-mail: ucmtdmnnearthlink net Also Serves On: Nsa Serves On: Also Serves On: Nsc Scrvcs On: Also Scrvcs On: Day Phone: 919-942-0001 Evening Phone: 919-773-300? FAX: 919-773-8824 E-mail: Nso Serves On: Pam Tillet 919-968-2084 Sex: Female Race: Undesignated Township: Chapel Viill Date Applied: 12/19/2003 Sex: female Race: Township: Chapel Bill Date Applied: 10/29/2003 MIS .TBrTy Ann CrB~Ory Day Phone: 919-933-8481 Sox; Female 917 Crestwood Lane Evenli1g Pltone: 919-933-8481 Race: Caucasian Chupcl Flitl NC 27517 FAX: Township: Chapel Flill Eanall: jkgregoryCJmindspring cum Da[c Applied: 11/02/2003 Skills: Also Serves On: Skills: Public Iicatth Also Serves On: Skills: Registered Nurse Also Serves On: MS .TOballl7a JO11$C:17 Day Pltone: 225-1925 Sox; Female 2201 f3aycourt frail Evening Phone: 245-1G37 Race: Caucasiat FIillsborough NC 27278 FAX: Township: Plillsborough E-mail: jjcnsenj~mindspring com Date Applied: 11/09/2003 Skills: Medical Technologist Nso Scrvcs On: Commission fbr Women MS. FIat1C~5 )tOVO11S Day Phone: ')19-GOZ-1301 Sox: Pemate 1010 Pinehurst Drive Evening Phone: 919A29-7434 Race: Caucasian Chapel Hill NC 27517 FAX: 919-929-7589 Township: E-mail: Il:ovcnsnnc rr com Datc Applied: II/OSI?003 Skills: Registered Nurse Nso Serves On: Monday, February 09, 2004 Page I of 2