C01118;TA106336;20018M100;1;;Fanning Alfonso;Family Footcare Pc;29355 Northwestern Hwy Suite 110;Southfield;MI;48034;03/13/25
C01118;TA106336;TDIMM100;3;;Fanning Alfonso;Family Footcare Pc;29355 Northwestern Hwy Suite 110;Southfield;MI;48034;03/13/25
