C01118;TA104973;410XXW095;1;;Cornelius Brown;Family Footcare Pc;29355 Northwestern Hwy Suite 110;Southfield;MI;48034;02/21/25
C01118;TA104973;TDIMXW095;3;;Cornelius Brown;Family Footcare Pc;29355 Northwestern Hwy Suite 110;Southfield;MI;48034;02/21/25
