C01645;TA103159;FOP;1;;Joseph Surdak;Klm Prosthetics;28 Ridge Rd;Newtown;CT;06470;01/16/25
C01645;TA103159;20011M115;1;;Joseph Surdak;Klm Prosthetics;28 Ridge Rd;Newtown;CT;06470;01/16/25
