C03965;TA113509;TCO3;1;1027316-PP;PASQUALE PICANO-789;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;WILKES BARRE;PA;18711;07/10/25
C03965;TA113509;484W095;1;1027316-PP;PASQUALE PICANO-789;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;WILKES BARRE;PA;18711;07/10/25
C03965;TA113509;COMP;No
