C01630;TA111972;20013W095;1;;Raymond Lengacher;Kevin Powers, Dpm;1791 W Third Street;Bloomington;IN;47404;06/16/25
C01630;TA111972;TDIMW095;3;;Raymond Lengacher;Kevin Powers, Dpm;1791 W Third Street;Bloomington;IN;47404;06/16/25
C01630;TA111972;COMP;No
