C03965;TA111482;TCO3;1;1027316-DM;DOROTHY MARTISOFSKI-40;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;WILKES BARRE;PA;18711;06/06/25
C03965;TA111482;80020W080;1;1027316-DM;DOROTHY MARTISOFSKI-40;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;WILKES BARRE;PA;18711;06/06/25
C03965;TA111482;COMP;No
