C00096;TA112472;BCO3;1;;BRAD CACRERO-316;Advanced Medical-DENVER;230 W 6TH AVE;DENVER;CO;80204;06/24/25
C00096;TA112472;40821W105;1;;BRAD CACRERO-316;Advanced Medical-DENVER;230 W 6TH AVE;DENVER;CO;80204;06/24/25
C00096;TA112472;COMP;No
