C01268;TA112708;TCORS3;1;;Todd Jackson;Foot & Ankle Physicians & Surgeons - Toledo;3055 W Sylvania Ave.;Toledo;OH;43613;06/26/25
C01268;TA112708;40031W100;1;;Todd Jackson;Foot & Ankle Physicians & Surgeons - Toledo;3055 W Sylvania Ave.;Toledo;OH;43613;06/26/25
C01268;TA112708;COMP;No
