C03965;TA105400;TCO3;1;1027316-AD;ALTAGRACIA DURAN10;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;WILKES BARRE;PA;18711;03/03/25
C03965;TA105400;80016M095;1;1027316-AD;ALTAGRACIA DURAN10;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;WILKES BARRE;PA;18711;03/03/25
