C04415;TA112856;TCO3;1;72238;VIRGINIA MULLIGAN-491;Horton's Orthotic Lab-LITTLE ROCK;5220 W. 12th St.;Little Rock;AR;72204;06/30/25
C04415;TA112856;80061M100;1;72238;VIRGINIA MULLIGAN-491;Horton's Orthotic Lab-LITTLE ROCK;5220 W. 12th St.;Little Rock;AR;72204;06/30/25
C04415;TA112856;COMP;No
