H;C03965;C03965;;20241119;TA100834-1027316-PP;;;;;GMC Geisinger Wyoming Valley Med Center;1000 East Mountain Drive;;Wilkes Barre;PA;18711;;;1027316-PP
D;TCO3;;PR;1;PAUL PRUEITT-430;
D;20014M100;;PR;1;PAUL PRUEITT-430;