C04306;TA112518;BCO3;1;;269362MWJ -406;Advanced Regional Ctr for Orthopedics & Podiatry;711 Logan Blvd;Altoona;PA;16602;06/24/25
C04306;TA112518;20016W100;1;;269362MWJ -406;Advanced Regional Ctr for Orthopedics & Podiatry;711 Logan Blvd;Altoona;PA;16602;06/24/25
C04306;TA112518;COMP;No
