Contributions Details
| Transaction Details | |
|---|---|
| Report Year: | 2021 |
| Report Type: | M10 |
| Date: | 10/15/2021 |
| Amount: | $5,000.00 |
| Contributor: | IMPACT HEALTH |
| Address: | 1009 W. 9TH AVE., SUITE A |
| City: | KING OF PRUSSIA |
| State: | PA |
| Zip: | 19406 |
| Occupation/Business Type: | HEALTHCARE |
| Type: | CHE |
| Inkind Description: | |
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