C01630;TA107385;20011W105;1;;Larry Mack;Kevin Powers, Dpm;1791 W Third Street;Bloomington;IN;47404;03/31/25
C01630;TA107385;TDIMW105;3;;Larry Mack;Kevin Powers, Dpm;1791 W Third Street;Bloomington;IN;47404;03/31/25
