C00168;TA107983;TCO3;1;;Miguel Dominquez;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;Ca;90602;04/09/25
C00168;TA107983;20021W110;1;;Miguel Dominquez;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;Ca;90602;04/09/25
