C00168;TA113805;TCO3;1;;Alice Manriquez;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;07/15/25
C00168;TA113805;80016W095;1;;Alice Manriquez;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;07/15/25
C00168;TA113805;COMP;No
