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eill Cornell Physicians 5 Lexington Ave. Suite 540 .w York, NY 10022-6102 50866700000070000 ilill.h.lilli..11.101.111.1.1r.I.1101.1 Statement Date nt Number 2/20/2015 Amount Due AMOUNT ENCLOSED $70.00 $ YOU CAN PAY ONLINE AT WWW.WEILLCORNELL.ORG El Visa O MasterCard O Discover O American Express Card Number Cardholder Name 1 Exp. Date MAKE CHECKS PAYABLE AND MAIL TO: Weill Cornell Medical College GPO Box 28375 New York, NY 10087-8375 1 1 1 1 EFTA01195212
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