C03195;TA111865;TCO3;1;;BEVERLY FRANCIS-178;First Step Prosthetics;1136 US 31W BYP;Bowling Green;KY;42101;06/12/25
C03195;TA111865;987W095;1;;BEVERLY FRANCIS-178;First Step Prosthetics;1136 US 31W BYP;Bowling Green;KY;42101;06/12/25
C03195;TA111865;COMP;No
