C00394;TA107949;BCO3;1;;John  Adams;Blue Ridge Footcare & Surgery;111 Fairway Lane;Staunton;VA;24401;04/09/25
C00394;TA107949;20018W090;1;;John  Adams;Blue Ridge Footcare & Surgery;111 Fairway Lane;Staunton;VA;24401;04/09/25
