Case File
efta-efta00590001DOJ Data Set 9OtherFEB-13-2033 10:36 FPCM:CR.MAGNANI
Date
Unknown
Source
DOJ Data Set 9
Reference
efta-efta00590001
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
FEB-13-2033 10:36 FPCM:CR.MAGNANI
21e f'difirdtl
TO:16467067223
P.3/3
Thomas J. Ma
I A18.
Alvin Grayson
k
leff Epstein
Box 806
York NY 10150
a ( I
HISTORICAL STATEMENT
Date
Pedant
0sticrIption
1/22/2014
1/28/2014
1/26/2014
Ju. (t•o.
Julia
Julia
Julia
Bleaching Trays
Recall Oral Exam
Adult Scaled Prophy
II a...
5—t.4 pc.44.4
Cunent
30 Days
60 Day1
1/1/2014 to 2112/2014
[Julia]
Tolaphono: (212) 555-1090
Date
Account
2/12/2014
10348
Charges
Credits
Balance
950.00
960.00
40.00
990.00
180.00
1,170.00
Account Total
1,170.00
Patiant Charges
1,170.00
Patient Payments
0.00
Patient Credits
0.00
Patient Debits
0.00
90 Days
120+ Days
Than
J. Wenn IM
NAM Growl...
7 West 51st IP. pet
701 Floor
New York NY 10019
(212) 699-1003
EFTA00590001
Technical Artifacts (3)
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Phone
(212) 555-1090Phone
(212) 699-1003Phone
16467067223Forum Discussions
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