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EFTA00272701
REQUIRO SCIENTIA LLC PALM BEACH. FL 33480 FTFTH THIRD BANK 639171/670 7321 Q== PAYTOTHE 080ER OF Mut' rrncc Ririe Shield 10/28/16 $ -1.998.59 1 1 nne Thnoicanri Nine Hundred NInetv-Raht and 59/100*****************"'"'" fin vs 8 Blue Cross Blue Shield PO Box 5386
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