C04439;TA105376;BCO3;1;;BRENDA SMALLWOOD-997;Total Foot and Ankle;205 South Kentucky Ave;Corbin;KY;40701;03/03/25
C04439;TA105376;80023W090;1;;BRENDA SMALLWOOD-997;Total Foot and Ankle;205 South Kentucky Ave;Corbin;KY;40701;03/03/25
