C00168;TA104036;TCO3;1;;Carlos Maquez;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;Ca;90602;02/04/25
C00168;TA104036;491M110;1;;Carlos Maquez;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;Ca;90602;02/04/25
