DO 5800 13081419322 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
08/28/2013 |
Paid |
$32,697.80 |
DO 5800 13081419322 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
119 |
08/28/2013 |
Paid |
$19,853.40 |
DO 5800 13081419322 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
113 |
08/28/2013 |
Paid |
$106,960.60 |
DO 5800 13081419322 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
111 |
08/28/2013 |
Paid |
$262,071.40 |
DO 5800 13081419322 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
08/28/2013 |
Paid |
$52,094.80 |
DO 5800 13081419322 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1110 |
08/28/2013 |
Paid |
$26,503.80 |