C03965;TA104779;TCO3;1;1027316-GH;GARY HASINUS-802;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;WILKES BARRE;PA;18711;02/19/25
C03965;TA104779;22002M120;1;1027316-GH;GARY HASINUS-802;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;WILKES BARRE;PA;18711;02/19/25
