C00096;TA112979;TCO3;1; Anna Thacker/326710;Anna Thacker;Advanced Medical-YPSILANTI;5333 Mcaulley Dr Ste 1106;Ypsilanti;MI;48197;07/01/25
C00096;TA112979;975W095;1; Anna Thacker/326710;Anna Thacker;Advanced Medical-YPSILANTI;5333 Mcaulley Dr Ste 1106;Ypsilanti;MI;48197;07/01/25
C00096;TA112979;COMP;No
