C04415;TA107653;TCO3;1;41162;BEVERLY TABER-758;Horton's Orthotic Lab-LITTLE ROCK;5220 W. 12th St.;Little Rock;AR;72204;04/04/25
C04415;TA107653;80052XW085;1;41162;BEVERLY TABER-758;Horton's Orthotic Lab-LITTLE ROCK;5220 W. 12th St.;Little Rock;AR;72204;04/04/25
