C00168;TA104044;TCO3;1;;Louis Chavez;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;Ca;90602;02/04/25
C00168;TA104044;20021M105;1;;Louis Chavez;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;Ca;90602;02/04/25
