C00168;TA112600;TCO3;1;;Maria Garry facio;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;06/25/25
C00168;TA112600;80061XW085;1;;Maria Garry facio;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;06/25/25
C00168;TA112600;COMP;No
