C00096;TA111714;TCO3;1;138864;LORI CARN;Advanced Medical-Brighton;7575 Grand River Ave Ste 106;Brighton;MI;48116;06/11/25
C00096;TA111714;981W095;1;138864;LORI CARN;Advanced Medical-Brighton;7575 Grand River Ave Ste 106;Brighton;MI;48116;06/11/25
C00096;TA111714;COMP;No
