DO 5800 14081518834 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
111 |
08/21/2014 |
Paid |
$289,585.80 |
DO 5800 14081518834 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1110 |
08/21/2014 |
Paid |
$29,403.57 |
DO 5800 14081518834 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
119 |
08/21/2014 |
Paid |
$19,511.10 |
DO 5800 14081518834 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
08/21/2014 |
Paid |
$57,711.78 |
DO 5800 14081518834 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
113 |
08/21/2014 |
Paid |
$111,487.11 |
DO 5800 14081518834 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
08/21/2014 |
Paid |
$40,596.78 |