C03337;TA112961;BCO3;1;;LIONEL DIAMOND-648;Central Kansas Podiatry;1819 N Greenwich Road Suite B;Wichita;KS;67206;07/01/25
C03337;TA112961;20103M110;1;;LIONEL DIAMOND-648;Central Kansas Podiatry;1819 N Greenwich Road Suite B;Wichita;KS;67206;07/01/25
C03337;TA112961;COMP;No
