DO 5800 14101501388 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
10/22/2014 |
Paid |
$16,542.26 |
DO 5800 14101501388 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
114 |
10/22/2014 |
Paid |
$44,558.92 |
DO 5800 14101501388 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
10/22/2014 |
Paid |
$116,888.62 |
DO 5800 14101501388 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
10/22/2014 |
Paid |
$11,761.26 |
DO 5800 14101501388 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
10/22/2014 |
Paid |
$7,704.24 |
DO 5800 14101501388 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
117 |
10/22/2014 |
Paid |
$22,948.80 |