C03965;TA112036;TCO3;1;1027316-DH;DONALD HEARST-247;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;WILKES BARRE;PA;18711;06/16/25
C03965;TA112036;20023M120;1;1027316-DH;DONALD HEARST-247;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;WILKES BARRE;PA;18711;06/16/25
C03965;TA112036;COMP;No
