C00578;TA104248;682M110;1;0207253;James Factor;Chickasaw Nation Shoe Clinic;1904 Carl Albert Blvd, Suite B;Ada;OK;74820;02/07/25
C00578;TA104248;TDIMM110;3;0207253;James Factor;Chickasaw Nation Shoe Clinic;1904 Carl Albert Blvd, Suite B;Ada;OK;74820;02/07/25
