DO 5800 14061014824 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
117 |
06/23/2014 |
Paid |
$22,825.86 |
DO 5800 14061014824 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
06/23/2014 |
Paid |
$114,935.24 |
DO 5800 14061014824 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
114 |
06/23/2014 |
Paid |
$44,668.20 |
DO 5800 14061014824 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
06/23/2014 |
Paid |
$7,758.88 |
DO 5800 14061014824 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
06/23/2014 |
Paid |
$15,790.96 |
DO 5800 14061014824 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
06/23/2014 |
Paid |
$11,706.62 |