C00168;TA111322;TCO3;1;;Jose Cabrera;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;06/04/25
C00168;TA111322;681W100;1;;Jose Cabrera;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;06/04/25
C00168;TA111322;COMP;No
