C03965;TA112954;TCO3;1;1027316-NR;NORRIS ROGERS-653;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;WILKES BARRE;PA;18711;07/01/25
C03965;TA112954;20011M105;1;1027316-NR;NORRIS ROGERS-653;WILKES-BARRE GWV;1155 EAST MTN. BLVD, ENTRANCE "A" PODIATRY;WILKES BARRE;PA;18711;07/01/25
C03965;TA112954;COMP;No
