C04415;TA111395;TCO3;1;42010;MICHAEL BECANSON-64;Horton's Orthotic Lab-LITTLE ROCK;5220 W. 12th St.;Little Rock;AR;72204;06/05/25
C04415;TA111395;20017M130;1;42010;MICHAEL BECANSON-64;Horton's Orthotic Lab-LITTLE ROCK;5220 W. 12th St.;Little Rock;AR;72204;06/05/25
C04415;TA111395;COMP;No
