C01630;TA107546;80016XW105;1;;Christine Simmons;Kevin Powers, Dpm;1791 W Third Street;Bloomington;IN;47404;04/02/25
C01630;TA107546;TDIWXW105;3;;Christine Simmons;Kevin Powers, Dpm;1791 W Third Street;Bloomington;IN;47404;04/02/25
