Tae Blain
1980-08-03
231434941
Male
20211100351-0001
5058 Elkhart St
Denver
COLORADO
80239
11/04/2021
YES
YES
NO
NO
FCM for ER Notes from Good Samaritan Hospital in Lafayette, CO. Claimant was in a coma and has since passed away.
Syncope and Collapse
EE was in the outside expo area of the kitchen when he suffered a seizure and fell, striking his head, sustaining a laceration to his forehead.
Claimant passed away. Cause of death undetermined.
7207077126
Buffalo Wild Wings- Inspire Brands
SELECT STATE
Blayre Stevens
Sedgwick
PO Box 14493
Lexington
KENTUCKY
40512
blayre.stevens@sedgwick.com
3037136083
3037136056
Tiffany Kinder
RUEGSEGGER SIMONS &amp; STERN, LLC
1700 Lincoln Street, Suite 4500
Denver
COLORADO
80203
TKinder@rs3legal.com
3035758038
3036231141
8
204.16.25.236
Mozilla/5.0 (Windows NT 10.0; Win64; x64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/94.0.4606.71 Safari/537.36
https://manleyandassociates.com/case-management-referral-form/
November 9, 2021
4:33 pm
Manley &amp; Associates
https://manleyandassociates.com
takamatsu@manleyandassociates.com