DO 5800 13050913483 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
113 |
05/16/2013 |
Paid |
$106,667.20 |
DO 5800 13050913483 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1110 |
05/16/2013 |
Paid |
$26,438.60 |
DO 5800 13050913483 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
05/16/2013 |
Paid |
$51,899.20 |
DO 5800 13050913483 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
119 |
05/16/2013 |
Paid |
$19,723.00 |
DO 5800 13050913483 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
111 |
05/16/2013 |
Paid |
$259,756.80 |
DO 5800 13050913483 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
05/16/2013 |
Paid |
$31,654.60 |