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EFTA00311382
$100.00 $5.400.00 $0.00 $0.00 $0.00 NOM $0.00 Claim Detail for JEFFREY EPSTEIN Provider. D CANNAVO Claim Number: 479135118601 Date(s) of Type of Service Notes' Amount Plan Your Plan Service Billed (9 Discounts (4 Paid (4) 07/28,2014 CLM EXPENSE INTEREST 5U $422.82 $0.00 $422.82 Claim
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