DO 5800 14091520724 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
09/24/2014 |
Paid |
$11,706.62 |
DO 5800 14091520724 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
09/24/2014 |
Paid |
$7,745.22 |
DO 5800 14091520724 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
114 |
09/24/2014 |
Paid |
$44,654.54 |
DO 5800 14091520724 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
117 |
09/24/2014 |
Paid |
$22,989.78 |
DO 5800 14091520724 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
09/24/2014 |
Paid |
$16,364.68 |
DO 5800 14091520724 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
09/24/2014 |
Paid |
$116,260.26 |