C04129;TA112562;BCO3;1;;CAROL COLUSSI-430;Foot and Ankle Associates of Lancaster;2112 Harrisburg Pike Suite 1;Lancaster;PA;17691;06/25/25
C04129;TA112562;80014M090;1;;CAROL COLUSSI-430;Foot and Ankle Associates of Lancaster;2112 Harrisburg Pike Suite 1;Lancaster;PA;17691;06/25/25
C04129;TA112562;COMP;No
