C02303;TA113350;BCO1;1;;MONICA BENNETT-762;Premier Medical Group;696 Dutchess Turnpike;Poughkeepsie;NY;12603;07/08/25
C02303;TA113350;817W100;1;;MONICA BENNETT-762;Premier Medical Group;696 Dutchess Turnpike;Poughkeepsie;NY;12603;07/08/25
C02303;TA113350;COMP;No
