C02639;TA106200;TCO1;1;;AUDRA 22987-527;Southgate Medical Group, Llc;1026 UNION RD;West Seneca;NY;14224;03/12/25
C02639;TA106200;87001M095;1;;AUDRA 22987-527;Southgate Medical Group, Llc;1026 UNION RD;West Seneca;NY;14224;03/12/25
C02639;TA106200;87001M105;1;;AUDRA 22987-527;Southgate Medical Group, Llc;1026 UNION RD;West Seneca;NY;14224;03/12/25
