C03965;TA104352;TCO3;1;1027316-SA;SHIRLEY ANDERSON-636;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;WILKES BARRE;PA;18711;02/11/25
C03965;TA104352;946XW105;1;1027316-SA;SHIRLEY ANDERSON-636;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;WILKES BARRE;PA;18711;02/11/25
