C00168;TA112345;428W140;1;;Michael Griffit;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;06/20/25
C00168;TA112345;TDIMW140;3;;Michael Griffit;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;06/20/25
C00168;TA112345;COMP;No
