C00121;TA106946;PPFR;1;21913;DEXTER PETTIFORD-608;Affiliated Podiatrist;150 S Main Road;Vineland;NJ;08360;03/24/25
C00121;TA106946;40821W140;1;21913;DEXTER PETTIFORD-608;Affiliated Podiatrist;150 S Main Road;Vineland;NJ;08360;03/24/25
