C01702;TA104017;BCO3;1;;Kodack Gerald;Schuylkill Foot and Ankle;1626 Mount Hope Ave;Pottsville;Pa;17901;02/24/25
C01702;TA104017;20019W080;1;;Kodack Gerald;Schuylkill Foot and Ankle;1626 Mount Hope Ave;Pottsville;Pa;17901;02/24/25
