C01270;TA113352;TCO3;1;;Mariam Gonzalez;Foot & Ankle Physicians & Surgeons - Toledo;3055 W Sylvania Ave;Toledo;OH;43613;07/08/25
C01270;TA113352;243W080;1;;Mariam Gonzalez;Foot & Ankle Physicians & Surgeons - Toledo;3055 W Sylvania Ave;Toledo;OH;43613;07/08/25
C01270;TA113352;COMP;No
