C00168;TA113641;80024W060;1;;Debra Smith;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;07/11/25
C00168;TA113641;TDIWW060;3;;Debra Smith;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;07/11/25
C00168;TA113641;COMP;No
