C03965;TA102067;TCO3;1;;NORMA FULLER-847;GMC Geisinger Wyoming Valley Med Center;1000 East Mountain Drive;Wilkes Barre;PA;18711;12/17/24
C03965;TA102067;80015XW110;1;;NORMA FULLER-847;GMC Geisinger Wyoming Valley Med Center;1000 East Mountain Drive;Wilkes Barre;PA;18711;12/17/24
