C04306;TA105559;BCO3;1;;314851LKP -20;Advanced Regional Ctr for Orthopedics & Podiatry;711 Logan Blvd;Altoona;PA;16602;03/05/25
C04306;TA105559;20019W105;1;;314851LKP -20;Advanced Regional Ctr for Orthopedics & Podiatry;711 Logan Blvd;Altoona;PA;16602;03/05/25
