C00168;TA108903;TCO3;1;;Rudy Mendez;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;Ca;90602;04/24/25
C00168;TA108903;20018M090;1;;Rudy Mendez;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;Ca;90602;04/24/25
