C00168;TA107955;TCO3;1;;Larry Amezquita;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;Ca;90602;04/09/25
C00168;TA107955;20019M095;1;;Larry Amezquita;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;Ca;90602;04/09/25
