C03337;TA103716;BCO3;1;;TERRY BALLY-439;Central Kansas Podiatry;1819 N Greenwich Road Suite B;Wichita;KS;67206;01/28/25
C03337;TA103716;20013W120;1;;TERRY BALLY-439;Central Kansas Podiatry;1819 N Greenwich Road Suite B;Wichita;KS;67206;01/28/25
