C00168;TA106208;TCO3;1;;Evarista Lopez;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;Ca;90602;03/12/25
C00168;TA106208;80013M090;1;;Evarista Lopez;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;Ca;90602;03/12/25
