C00096;TA107647;BCO3;1;135935;TITI SERIOUS-762;Advanced Medical-DENVER;230 W 6TH AVE;DENVER;CO;80204;04/04/25
C00096;TA107647;20219M120;1;135935;TITI SERIOUS-762;Advanced Medical-DENVER;230 W 6TH AVE;DENVER;CO;80204;04/04/25
