C04439;TA113089;20017W140;1;;Richard Tully;Total Foot and Ankle;205 South Kentucky Ave;Corbin;KY;40701;07/02/25
C04439;TA113089;TDIMW140;3;;Richard Tully;Total Foot and Ankle;205 South Kentucky Ave;Corbin;KY;40701;07/02/25
C04439;TA113089;COMP;No
