TLUS MI AHCA FMSP FFFS TRAININGHCOPERATIONALB 123456 490681111 011111111 KIM CRAWFORD 123123 JANET DICKERSON 09/01/1930 1301 E JACKSON ST PHOENIX AZ 42743738 850342313 G0154 A92.5 NON NON 09/05/2019 17:07:00 09/05/2019 17:15:00 33.444791 -112.05501 09/05/2019 17:07:00 09/05/2019 17:15:00 125 300 DENV 1301 E Jackson St Phoenix AZ 850342313 UNBL 2 1 1190 MRTH SRVC 1190 Invalid ReasonCode1