C03965;TA104878;TCO3;1;1027316-EM;EDWARD MCGRADE-800;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;WILKES BARRE;PA;18711;02/20/25
C03965;TA104878;40031M110;1;1027316-EM;EDWARD MCGRADE-800;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;WILKES BARRE;PA;18711;02/20/25
