C02462;TA102528;BCO3;1;;BETTY SLAWTER-81;Romeo Foot And Ankle Clinic;64580 VAN DYKE SUITE A;WASHINGTON;MI;48095;01/02/25
C02462;TA102528;810M080;1;;BETTY SLAWTER-81;Romeo Foot And Ankle Clinic;64580 VAN DYKE SUITE A;WASHINGTON;MI;48095;01/02/25
