C00394;TA101797;BCO3;1;;MARIE CLARK-824;Blue Ridge Footcare & Surgery;111 Fairway Lane;Staunton;VA;24401;12/11/24
C00394;TA101797;80013XXW070;1;;MARIE CLARK-824;Blue Ridge Footcare & Surgery;111 Fairway Lane;Staunton;VA;24401;12/11/24
