C02639;TA109014;TCO1;1;;MICHAEL 49438-187;Southgate Medical Group, Llc;1026 UNION RD;West Seneca;NY;14224;04/25/25
C02639;TA109014;20018W120;1;;MICHAEL 49438-187;Southgate Medical Group, Llc;1026 UNION RD;West Seneca;NY;14224;04/25/25
