C00168;TA112107;TCO3;1;;Mirna Schafer;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;06/17/25
C00168;TA112107;80011W075;1;;Mirna Schafer;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;06/17/25
C00168;TA112107;COMP;No
