C01270;TA113666;TCO3;1;;Mae Jackson;Foot & Ankle Physicians & Surgeons - Toledo;3055 W Sylvania Ave;Toledo;OH;43613;07/14/25
C01270;TA113666;80053W080;1;;Mae Jackson;Foot & Ankle Physicians & Surgeons - Toledo;3055 W Sylvania Ave;Toledo;OH;43613;07/14/25
C01270;TA113666;COMP;No
