C01118;TA113270;80021M100;1;;Vernetta Macklin-Jordan;Family Footcare Pc;29355 Northwestern Hwy Suite 110;Southfield;MI;48034;07/07/25
C01118;TA113270;TDIWM100;3;;Vernetta Macklin-Jordan;Family Footcare Pc;29355 Northwestern Hwy Suite 110;Southfield;MI;48034;07/07/25
C01118;TA113270;COMP;No
