H;C03965;C03965;;20241120;TA100896-1027316-LR;;;;;GMC Geisinger Wyoming Valley Med Center;1000 East Mountain Drive;;Wilkes Barre;PA;18711;;;1027316-LR
D;TCO3;;PR;1;LINDA  ROZINA - 457;
D;80015M100;;PR;1;LINDA  ROZINA - 457;