C00168;TA112602;TCO3;1;;Daniel Almanza;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;06/25/25
C00168;TA112602;20013XW070;1;;Daniel Almanza;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;06/25/25
C00168;TA112602;COMP;No
