C03965;TA105100;TCO3;1;1027316-JC;JAMES COLLINS-925;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;WILKES BARRE;PA;18711;02/25/25
C03965;TA105100;428XW115;1;1027316-JC;JAMES COLLINS-925;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;WILKES BARRE;PA;18711;02/25/25
