C00168;TA111834;TCO3;1;;Manuel Quispe;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;06/12/25
C00168;TA111834;616W085;1;;Manuel Quispe;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;06/12/25
C00168;TA111834;COMP;No
