C00168;TA113491;TCO3;1;;Ruben Vidales;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;07/09/25
C00168;TA113491;429W100;1;;Ruben Vidales;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;07/09/25
C00168;TA113491;COMP;No
