C02775;TA106790;525XXW130;1;;Tavarus Benard;The Foot and Ankle Clinic;3601 Desiard St;Monroe;LA;71203;04/15/25
C02775;TA106790;TDIMXW130;1;;Tavarus Benard;The Foot and Ankle Clinic;3601 Desiard St;Monroe;LA;71203;04/15/25
