C01630;TA103001;20017XW120;1;;John Sparks;Kevin Powers, Dpm;1791 W Third Street;Bloomington;IN;47404;01/13/25
C01630;TA103001;TDIMXW120;3;;John Sparks;Kevin Powers, Dpm;1791 W Third Street;Bloomington;IN;47404;01/13/25
