C00096;TA109983;BCO3;1;;PAUL SHEARLOCK;Advanced Medical-Brighton;7575 Grand River Ave Ste 106;Brighton;MI;48116;05/13/25
C00096;TA109983;20218M100;1;;PAUL SHEARLOCK;Advanced Medical-Brighton;7575 Grand River Ave Ste 106;Brighton;MI;48116;05/13/25
