C04306;TA103229;BCO3;1;;297373CS -252;Advanced Regional Ctr for Orthopedics & Podiatry;711 Logan Blvd;Altoona;PA;16602;01/17/25
C04306;TA103229;80021XW100;1;;297373CS -252;Advanced Regional Ctr for Orthopedics & Podiatry;711 Logan Blvd;Altoona;PA;16602;01/17/25
