Name | Phillip A Provencher |
---|---|
Sex | male |
Birth Date | October 31, 1915 |
Death Date | November 1, 1989 |
Age at Death | 74 years, 1 day old |
Birth Place | Canada |
Death Place | Los Angeles County, California |
Mother's Maiden Name | Renee |
Social Security Number | 002-07-5308 |