C00096;TA103792;BCO3;1;;Lester Wilkenson;Advanced Medical-Brighton;7575 Grand River Ave Ste 106;Brighton;MI;48116;01/29/25
C00096;TA103792;20015M110;1;;Lester Wilkenson;Advanced Medical-Brighton;7575 Grand River Ave Ste 106;Brighton;MI;48116;01/29/25
