C00168;TA111697;TCO3;1;;Elaine Smith;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;06/10/25
C00168;TA111697;862W075;1;;Elaine Smith;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;06/10/25
C00168;TA111697;COMP;No
