C00168;TA111581;TCO3;1;;Carmen Vasquez;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;06/12/25
C00168;TA111581;862XW080;1;;Carmen Vasquez;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;06/12/25
C00168;TA111581;COMP;No
