C01268;TA110809;TCO3;1;;Eugene Russell;Foot & Ankle Physicians & Surgeons - Toledo;3055 W Sylvania Ave.;Toledo;OH;43613;05/28/25
C01268;TA110809;581M120;1;;Eugene Russell;Foot & Ankle Physicians & Surgeons - Toledo;3055 W Sylvania Ave.;Toledo;OH;43613;05/28/25
C01268;TA110809;COMP;No
