DO 5800 13061015485 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
113 |
06/20/2013 |
Paid |
$107,188.80 |
DO 5800 13061015485 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
06/20/2013 |
Paid |
$52,062.20 |
DO 5800 13061015485 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1110 |
06/20/2013 |
Paid |
$26,340.80 |
DO 5800 13061015485 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
111 |
06/20/2013 |
Paid |
$259,756.80 |
DO 5800 13061015485 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
119 |
06/20/2013 |
Paid |
$19,820.80 |
DO 5800 13061015485 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
06/20/2013 |
Paid |
$32,078.40 |