H;C03965;C03965;;20241216;TA101953-1027316-AO;;;;;GMC Geisinger Wyoming Valley Med Center;1000 East Mountain Drive;;Wilkes Barre;PA;18711;;;1027316-AO
D;TCO3;;PR;1;AGUSTINA OROPEZA-866;
D;90001M095;;PR;1;AGUSTINA OROPEZA-866;