C00168;TA111326;TCO3;1;;Dolores Velasquez;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;06/04/25
C00168;TA111326;80020M095;1;;Dolores Velasquez;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;06/04/25
C00168;TA111326;COMP;No
