C03965;TA103137;TCO3;1;1027316-LK;LAURA KIWAK-272;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;WILKES BARRE;PA;18711;01/15/25
C03965;TA103137;90002M085;1;1027316-LK;LAURA KIWAK-272;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;WILKES BARRE;PA;18711;01/15/25
