C00096;TA107573;TCO3;1;136258;Fredrick Howard;Advanced Medical-YPSILANTI;5333 Mcaulley Dr Ste 1106;Ypsilanti;MI;48197;04/04/25
C00096;TA107573;20217W105;1;136258;Fredrick Howard;Advanced Medical-YPSILANTI;5333 Mcaulley Dr Ste 1106;Ypsilanti;MI;48197;04/04/25
