C02462;TA103230;BCO3;1;;SHAMSUN BEGUM-253;Romeo Foot And Ankle Clinic;64580 VAN DYKE SUITE A;WASHINGTON;MI;48095;01/17/25
C02462;TA103230;73031W065;1;;SHAMSUN BEGUM-253;Romeo Foot And Ankle Clinic;64580 VAN DYKE SUITE A;WASHINGTON;MI;48095;01/17/25
