C04334;TA105276;20011W110;1;;Roger Newsome;InStride Brunswick Foot & Ankle Surgery;14 Doctors Circle Suite 2;Supply;NC;28462;02/28/25
C04334;TA105276;TDIMW110;3;;Roger Newsome;InStride Brunswick Foot & Ankle Surgery;14 Doctors Circle Suite 2;Supply;NC;28462;02/28/25
