C01630;TA108063;672M105;1;;James Eads;Kevin Powers, Dpm;1791 W Third Street;Bloomington;IN;47404;04/10/25
C01630;TA108063;TDIMM105;3;;James Eads;Kevin Powers, Dpm;1791 W Third Street;Bloomington;IN;47404;04/10/25
