C03965;TA108070;TCO3;1;1027316-LC;LUIS CID-939;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;WILKES BARRE;PA;18711;04/10/25
C03965;TA108070;20023M100;1;1027316-LC;LUIS CID-939;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;WILKES BARRE;PA;18711;04/10/25
