H;C04010;C04010;;20241209;TA101501-JR12052024;;;;;Batavia Foot Care Center;3922 West Main St Rd;;Batavia;NY;14020;;;JR12052024
D;80011M095;;PR;1;Jeanne Rivera;
D;73032M095;;PR;1;Jeanne Rivera;
D;ORIWM095;;PR;1;Jeanne Rivera;