C01702;TA104272;BCO3;1;;Joann Black;Schuylkill Foot and Ankle;1626 Mount Hope Ave;Pottsville;Pa;17901;02/25/25
C01702;TA104272;80016W090;1;;Joann Black;Schuylkill Foot and Ankle;1626 Mount Hope Ave;Pottsville;Pa;17901;02/25/25
