Documents containing: 10/13/15
Found 6 document(s) with this date
EFTA00271906.pdf
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Service Charge withdrawn on 10/13/15
$11.00
-$11.00
$10.00
$10...
EFTA00272135.pdf
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Service Charge withdrawn on 10/13/15
$0.00
Standard Monthly Serv...
EFTA00273215.pdf
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Service Charge withdrawn on 10/13/15
$0.00
Standard Monthly Serv...
EFTA00273592.pdf
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Service Charge withdrawn on 10/13/15
$0.00
Standard Monthly Serv...
EFTA00282926.pdf
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OUTSIDE FILMS/CD FORM
Date: 10/13/15
Patient Name: EPSTEIN, JEFFR...
EFTA00282926.pdf
...ging, PC.
PATIENT SIGNATURE
10/13/15
In lieu of patient signature...