DO 1500 13120904630 |
n/a
|
Medical Services (Non-Physician) |
1112 |
01/02/2014 |
Paid |
$74.67 |
DO 1500 13120904630 |
n/a
|
Medical Services (Non-Physician) |
119 |
01/02/2014 |
Paid |
$74.67 |
DO 1500 13120904630 |
n/a
|
Medical Services (Non-Physician) |
1110 |
01/02/2014 |
Paid |
$74.67 |
DO 1500 13120904630 |
n/a
|
Medical Services (Non-Physician) |
114 |
01/02/2014 |
Paid |
$74.67 |
DO 1500 13120904630 |
n/a
|
Medical Services (Non-Physician) |
111 |
01/02/2014 |
Paid |
$74.67 |
DO 1500 13120904630 |
n/a
|
Medical Services (Non-Physician) |
113 |
01/02/2014 |
Paid |
$74.67 |
DO 1500 13120904630 |
n/a
|
Medical Services (Non-Physician) |
1113 |
01/02/2014 |
Paid |
$74.67 |
DO 1500 13120904630 |
n/a
|
Medical Services (Non-Physician) |
1111 |
01/02/2014 |
Paid |
$74.67 |
DO 1500 13120904630 |
n/a
|
Medical Services (Non-Physician) |
117 |
01/02/2014 |
Paid |
$74.67 |
DO 1500 13120904630 |
n/a
|
Medical Services (Non-Physician) |
115 |
01/02/2014 |
Paid |
$74.67 |
DO 1500 13120904630 |
n/a
|
Medical Services (Non-Physician) |
112 |
01/02/2014 |
Paid |
$74.67 |
DO 1500 13120904630 |
n/a
|
Medical Services (Non-Physician) |
116 |
01/02/2014 |
Paid |
$74.67 |
DO 1500 13120904630 |
n/a
|
Medical Services (Non-Physician) |
1115 |
01/02/2014 |
Paid |
$74.62 |
DO 1500 13120904630 |
n/a
|
Medical Services (Non-Physician) |
1114 |
01/02/2014 |
Paid |
$74.67 |
DO 1500 13120904630 |
n/a
|
Medical Services (Non-Physician) |
118 |
01/02/2014 |
Paid |
$74.67 |