C04129;TA111084;PPFR;1;;LAVON GRAY-928;Foot and Ankle Associates of Lancaster;2112 Harrisburg Pike Suite 1;Lancaster;PA;17691;05/30/25
C04129;TA111084;647W130;1;;LAVON GRAY-928;Foot and Ankle Associates of Lancaster;2112 Harrisburg Pike Suite 1;Lancaster;PA;17691;05/30/25
C04129;TA111084;COMP;No
