C03965;TA109620;TCO3;1;1027316-MS;MICHAEL STANZIOLA-411;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;WILKES BARRE;;18711;05/06/25
C03965;TA109620;20011XXW105;1;1027316-MS;MICHAEL STANZIOLA-411;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;WILKES BARRE;;18711;05/06/25
