DO 5800 17061212179 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
06/21/2017 |
Paid |
$273,242.04 |
DO 5800 17061212179 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1117 |
06/21/2017 |
Paid |
$630.42 |
DO 5800 17061212179 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
06/21/2017 |
Paid |
$22,815.20 |
DO 5800 17061212179 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
06/21/2017 |
Paid |
$68,925.92 |
DO 5800 17061212179 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
06/21/2017 |
Paid |
$51,034.00 |
DO 5800 17061212179 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1114 |
06/21/2017 |
Paid |
$32,871.90 |
DO 5800 17061212179 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
06/21/2017 |
Paid |
$14,979.98 |
DO 5800 17061212179 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1118 |
06/21/2017 |
Paid |
$180.12 |
DO 5800 17061212179 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
06/21/2017 |
Paid |
$56,797.84 |