C03965;TA112391;TCO3;1;1027316-RH;RONALD HUNGARTER-386;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;WILKES BARRE;PA;18711;06/20/25
C03965;TA112391;20013W120;1;1027316-RH;RONALD HUNGARTER-386;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;WILKES BARRE;PA;18711;06/20/25
C03965;TA112391;COMP;No
