C00168;TA112113;TCO3;1;;Peter Grams;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;06/17/25
C00168;TA112113;20019M120;1;;Peter Grams;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;06/17/25
C00168;TA112113;COMP;No
