C04415;TA113610;TCO2;1;42501;KENDRA BOOKER-824;Horton's Orthotic Lab-Jonesboro;2760 Browns Lane Suite A ;Jonesboro;AR;72401;07/11/25
C04415;TA113610;80022XW110;1;42501;KENDRA BOOKER-824;Horton's Orthotic Lab-Jonesboro;2760 Browns Lane Suite A ;Jonesboro;AR;72401;07/11/25
C04415;TA113610;COMP;No
