C02161;TA111720;80016M090;1;;Shirley Williams;PARADIGM HEALTH SYSTEM;995 ROBERT BLVD;SLIDELL;LA;70458;06/11/25
C02161;TA111720;TDIWM090;3;;Shirley Williams;PARADIGM HEALTH SYSTEM;995 ROBERT BLVD;SLIDELL;LA;70458;06/11/25
C02161;TA111720;COMP;No
