C04415;TA113807;TCO3;1;42562;JACKLYN COX-911;Horton's Orthotic Lab-LITTLE ROCK;5220 W. 12th St.;Little Rock;AR;72204;07/15/25
C04415;TA113807;80052XW105;1;42562;JACKLYN COX-911;Horton's Orthotic Lab-LITTLE ROCK;5220 W. 12th St.;Little Rock;AR;72204;07/15/25
C04415;TA113807;COMP;No
