C03965;TA104627;TCO3;1;1027316-JB;JAMAINE BRYSON-751;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;WILKES BARRE;;18711;02/14/25
C03965;TA104627;40031M115;1;1027316-JB;JAMAINE BRYSON-751;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;WILKES BARRE;;18711;02/14/25
