C01630;TA104861;80013XXW090;1;;Beryl Poteat;Kevin Powers, Dpm;1791 W Third Street;Bloomington;IN;47404;02/20/25
C01630;TA104861;TDIWXW090;3;;Beryl Poteat;Kevin Powers, Dpm;1791 W Third Street;Bloomington;IN;47404;02/20/25
