C00096;TA103336;BCO3;1;133421;DANIEL ESPINOSA-290;Advanced Medical-DENVER;230 W 6TH AVE;DENVER;CO;80204;01/21/25
C00096;TA103336;469XW110;1;133421;DANIEL ESPINOSA-290;Advanced Medical-DENVER;230 W 6TH AVE;DENVER;CO;80204;01/21/25
