C00702;TA100880;BCO3;1;111524;GEORGE DIXON-464;Craig Shouse, Dpm;3410 N High School Rd Ste C;Indianapolis;IN;46224;11/19/24
C00702;TA100880;20014M105;1;111524;GEORGE DIXON-464;Craig Shouse, Dpm;3410 N High School Rd Ste C;Indianapolis;IN;46224;11/19/24
