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229 West 36th Street, 10th floor • New York, NY 10018

(212) 695-5122 / Fax (212) 695-2260


www.mobilehealth.com

Invoice

Invoice No: 6003364


Date: 06/30/23
6036 - GHG Homecare – Harrisburg
622 3RD AVE A/R Terms: 30
7TH FLOOR NOOR STAFFING
New York, NY 10017

Exam No. Patient Name SSN Service(s) Provided Service Date Memo Fee
23-087768 Aquino, Tatiana XXX-XX-4315 Alternate 06/23/23 $95.20

Net Amount: $95.20

Please make your check payable to: "Mobile Health Medical Services, PC and remit to PO Box 980,
New York, NY 10008-0980"
Print Date & Time: 6/30/2023 1:56:16 PM Page 1 of 1

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