DO 5800 14081518834 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
08/21/2014 |
Paid |
$11,733.94 |
DO 5800 14081518834 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
117 |
08/21/2014 |
Paid |
$23,030.76 |
DO 5800 14081518834 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
08/21/2014 |
Paid |
$115,563.60 |
DO 5800 14081518834 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
08/21/2014 |
Paid |
$16,200.76 |
DO 5800 14081518834 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
114 |
08/21/2014 |
Paid |
$44,490.62 |
DO 5800 14081518834 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
08/21/2014 |
Paid |
$7,786.20 |