C01630;TA104580;80016W080;1;;Debra Pavey;Kevin Powers, Dpm;1791 W Third Street;Bloomington;IN;47404;02/14/25
C01630;TA104580;TDIWW080;3;;Debra Pavey;Kevin Powers, Dpm;1791 W Third Street;Bloomington;IN;47404;02/14/25
