C00096;TA106969;BCO3;1;135884;Kenneth Ariss;Advanced Medical-Brighton;7575 Grand River Ave Ste 106;Brighton;MI;48116;03/25/25
C00096;TA106969;20019M105;1;135884;Kenneth Ariss;Advanced Medical-Brighton;7575 Grand River Ave Ste 106;Brighton;MI;48116;03/25/25
