C02634;TA111292;TCO3;1;;JEFFEREY TAYLOR-12;Southern Delaware Foot & Ankle Llc;8857 Riverside Drive;Seaford;DE;19973;06/04/25
C02634;TA111292;20019M110;1;;JEFFEREY TAYLOR-12;Southern Delaware Foot & Ankle Llc;8857 Riverside Drive;Seaford;DE;19973;06/04/25
C02634;TA111292;COMP;No
