Medical Urgent_care_visit_summary

AFC Urgent Care COVID Visit Johan Jongsma

ID: 6572f1892becc2a0

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Details

Category
Vendor
American Family Care Urgent Care
Amount
$150.00
Date
Jun 26, 2022
Processed
Sep 13, 2026 1:12 AM EDT
Original File
COVID test 20220626.pdf

Summary

Urgent care visit summary for Johan Jongsma at AFC Urgent Care Tyrone on June 26, 2022, including office evaluation, COVID antigen test (negative), and flu immunization; total payments $150.00. Insurance: CIGNA and United Healthcare under Tatyana Jongsma.

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