C03655;TA113760;TCO2;1;07152025gr;Earl Baugher;PA Artificial Limb & Brace;224 West 26th Street;Erie;PA;16508;07/15/25
C03655;TA113760;468W105;1;07152025gr;Earl Baugher;PA Artificial Limb & Brace;224 West 26th Street;Erie;PA;16508;07/15/25
C03655;TA113760;COMP;No
