C04334;TA100665;BCO3;1;;CARLOS BASS-316;InStride Brunswick Foot & Ankle Surgery;14 Doctors Circle Suite 2;Supply;NC;28462;11/12/24
C04334;TA100665;20018W100;1;;CARLOS BASS-316;InStride Brunswick Foot & Ankle Surgery;14 Doctors Circle Suite 2;Supply;NC;28462;11/12/24
