EFTA00283635
EFTA00283636 DataSet-9
EFTA00283637

EFTA00283636.pdf

DataSet-9 1 page 104 words document
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JUL-26-2002 14:01 FROM:DR.MAGNANI TO:16467067223 P.1'l HISTORICAL STATEMENT 7/18/2013 to 7/25/2013 (Jeff] Thomas J. Magnani D.D.S. Tolephono: Alvin Grayson D.D.S. 7 West Slat Street 7th Floor New York NY 10019 Jeff Epstein Date Account P.O. Box808 7/25/2013 3114 New York NY 10160 Date Patient Description Charges Credits Balance 7/18/2013 Jeff Recall Oral Exam 40.00 40.00 7/18/2013 Jeff Adult Scale & Prophy 180.00 220.00 Account Total 220.00 Patient Charges 220.00 Patient Payments 0.00 Patient Credits 0.00 Patient Debits 0.00 Current 30 Days 60 Delia 90 Days 120+ Days Thomas J. Magnanl Alv;n Grayson D.D.S. 7 West 51st St. at th Floor New York NV 10019 EFTA00283636
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93d7a18740b713330418857aba457b918071aab1b94b794c083f5147c09ad2bf
Bates Number
EFTA00283636
Dataset
DataSet-9
Document Type
document
Pages
1

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