DO 5800 13091321356 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
114 |
09/23/2013 |
Paid |
$34,598.92 |
DO 5800 13091321356 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
09/23/2013 |
Paid |
$6,358.55 |
DO 5800 13091321356 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
117 |
09/23/2013 |
Paid |
$16,837.02 |
DO 5800 13091321356 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
09/23/2013 |
Paid |
$84,616.01 |
DO 5800 13091321356 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
09/23/2013 |
Paid |
$10,699.18 |
DO 5800 13091321356 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
09/23/2013 |
Paid |
$8,628.71 |