C00096;TA110983;585W120;1;138356;PHILLIP  DRYER;Advanced Medical-Brighton;7575 Grand River Ave Ste 106;Brighton;MI;48116;06/05/25
C00096;TA110983;ORIMW120;1;138356;PHILLIP  DRYER;Advanced Medical-Brighton;7575 Grand River Ave Ste 106;Brighton;MI;48116;06/05/25
C00096;TA110983;COMP;No
