C00578;TA108698;80021M060;1;0421253;Lavonna Chambers;Chickasaw Nation Shoe Clinic;1904 Carl Albert Blvd, Suite B;Ada;OK;74820;04/21/25
C00578;TA108698;TDIWM060;3;0421253;Lavonna Chambers;Chickasaw Nation Shoe Clinic;1904 Carl Albert Blvd, Suite B;Ada;OK;74820;04/21/25
