C00168;TA112422;TCO3;1;;Jose Gonzalez;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;06/23/25
C00168;TA112422;616M100;1;;Jose Gonzalez;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;06/23/25
C00168;TA112422;COMP;No
