C00168;TA111356;TCO3;1;;Manuel Ibarra;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;06/04/25
C00168;TA111356;491W100;1;;Manuel Ibarra;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;06/04/25
C00168;TA111356;COMP;No
