C01630;TA103747;BCO3;1;;BRADLEY  NOEL-472;Kevin Powers, Dpm;1791 W Third Street;Bloomington;IN;47404;01/29/25
C01630;TA103747;20017XW110;1;;BRADLEY  NOEL-472;Kevin Powers, Dpm;1791 W Third Street;Bloomington;IN;47404;01/29/25
