H;C01133;C01133;;20241112;TA100633-2024-11-07;;;;;Fine Foot Care Cntr;2700 Clay Edwards Dr Ste 360;;Kansas City;MO;64116;;;2024-11-07
D;BCO3;;PR;1;DEBORAH LIGHT-345;
D;80020M100;;PR;1;DEBORAH LIGHT-345;