H;C00139;C00139;;20241112;TA100656-CLINIC-AAFC-BWILLIAMS;;;;;Alderwood Foot & Ankle;3500 188Th Street Sw Ste 110;;Lynnwood;WA;98037;;;CLINIC-AAFC-BWILLIAMS
D;BCO3;;PR;1;BOBBY  WILLIAMS-324;