C04306;TA113663;BCO3;1;;297124FJM -848;Advanced Regional Ctr for Orthopedics & Podiatry;711 Logan Blvd;Altoona;PA;16602;07/14/25
C04306;TA113663;20215W095;1;;297124FJM -848;Advanced Regional Ctr for Orthopedics & Podiatry;711 Logan Blvd;Altoona;PA;16602;07/14/25
C04306;TA113663;COMP;No
