DO 5800 16061314536 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
119 |
06/23/2016 |
Paid |
$11,445.46 |
DO 5800 16061314536 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1115 |
06/23/2016 |
Paid |
$271.73 |
DO 5800 16061314536 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
113 |
06/23/2016 |
Paid |
$34,577.18 |
DO 5800 16061314536 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1116 |
06/23/2016 |
Paid |
$113.47 |
DO 5800 16061314536 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
111 |
06/23/2016 |
Paid |
$167,289.27 |
DO 5800 16061314536 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
117 |
06/23/2016 |
Paid |
$56,583.55 |
DO 5800 16061314536 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1110 |
06/23/2016 |
Paid |
$17,165.84 |
DO 5800 16061314536 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
114 |
06/23/2016 |
Paid |
$28,650.49 |
DO 5800 16061314536 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1113 |
06/23/2016 |
Paid |
$14,740.92 |