C04415;TA113355;TCO2;1;42466;TIMOTHY GETTY-759;Horton's Orthotic Lab-LITTLE ROCK;5220 W. 12th St.;Little Rock;AR;72204;07/08/25
C04415;TA113355;20218XW115;1;42466;TIMOTHY GETTY-759;Horton's Orthotic Lab-LITTLE ROCK;5220 W. 12th St.;Little Rock;AR;72204;07/08/25
C04415;TA113355;COMP;No
