DO 5800 14051313182 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
114 |
05/21/2014 |
Paid |
$44,545.26 |
DO 5800 14051313182 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
05/21/2014 |
Paid |
$11,665.64 |
DO 5800 14051313182 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
05/21/2014 |
Paid |
$15,613.38 |
DO 5800 14051313182 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
05/21/2014 |
Paid |
$114,183.94 |
DO 5800 14051313182 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
117 |
05/21/2014 |
Paid |
$22,661.94 |
DO 5800 14051313182 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
05/21/2014 |
Paid |
$7,813.52 |