C01702;TA110766;BCO3;1;;John Bradley;Schuylkill Foot and Ankle;1626 Mount Hope Ave;Pottsville;Pa;17901;05/28/25
C01702;TA110766;20018W100;1;;John Bradley;Schuylkill Foot and Ankle;1626 Mount Hope Ave;Pottsville;Pa;17901;05/28/25
C01702;TA110766;COMP;No
