C01630;TA103260;20019M120;1;;Richard Wenzel;Kevin Powers, Dpm;1791 W Third Street;Bloomington;IN;47404;01/20/25
C01630;TA103260;TDIMM120;3;;Richard Wenzel;Kevin Powers, Dpm;1791 W Third Street;Bloomington;IN;47404;01/20/25
