C02161;TA110629;80015W080;1;;Esther Black;PARADIGM HEALTH SYSTEM;995 ROBERT BLVD;SLIDELL;LA;70458;06/12/25
C02161;TA110629;TDIWW080;3;;Esther Black;PARADIGM HEALTH SYSTEM;995 ROBERT BLVD;SLIDELL;LA;70458;06/12/25
C02161;TA110629;COMP;No
