H;C04010;C04010;;20241203;TA101358;;;;;Batavia Foot Care Center;3922 West Main St Rd;;Batavia;NY;14020;;;
D;20011W095;;PR;1;Paula Stanton;
D;20011XW095;;PR;1;Paula Stanton;
D;ORIMXW095;;PR;1;Paula Stanton;