C00394;TA113257;BCO3;1;;SUSAN  PASQUINI;Blue Ridge Footcare & Surgery;111 Fairway Lane;Staunton;VA;24401;07/07/25
C00394;TA113257;80015W100;1;;SUSAN  PASQUINI;Blue Ridge Footcare & Surgery;111 Fairway Lane;Staunton;VA;24401;07/07/25
C00394;TA113257;COMP;No
