C03965;TA103678;TCO3;1;1027316-NJ;NORMAN JAMES-417;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;WILKES BARRE;PA;18711;01/28/25
C03965;TA103678;20103M095;1;1027316-NJ;NORMAN JAMES-417;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;WILKES BARRE;PA;18711;01/28/25
