C01630;TA103087;20102XW110;1;;Bradley Noel;Kevin Powers, Dpm;1791 W Third Street;Bloomington;IN;47404;01/15/25
C01630;TA103087;TDIMXW110;3;;Bradley Noel;Kevin Powers, Dpm;1791 W Third Street;Bloomington;IN;47404;01/15/25
