C01268;TA113599;TCO3;1;;Evelyn Boykin;Foot & Ankle Physicians & Surgeons - Toledo;3055 W Sylvania Ave.;Toledo;OH;43613;07/11/25
C01268;TA113599;80023M090;1;;Evelyn Boykin;Foot & Ankle Physicians & Surgeons - Toledo;3055 W Sylvania Ave.;Toledo;OH;43613;07/11/25
C01268;TA113599;COMP;No
