DO 5800 14071016633 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1110 |
07/17/2014 |
Paid |
$29,403.57 |
DO 5800 14071016633 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
113 |
07/17/2014 |
Paid |
$111,589.80 |
DO 5800 14071016633 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
119 |
07/17/2014 |
Paid |
$19,579.56 |
DO 5800 14071016633 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
111 |
07/17/2014 |
Paid |
$289,311.96 |
DO 5800 14071016633 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
07/17/2014 |
Paid |
$57,540.63 |
DO 5800 14071016633 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
07/17/2014 |
Paid |
$40,083.33 |