C04306;TA112986;BCO3;1;;324862BJT -636;Advanced Regional Ctr for Orthopedics & Podiatry;711 Logan Blvd;Altoona;PA;16602;07/01/25
C04306;TA112986;80016W090;1;;324862BJT -636;Advanced Regional Ctr for Orthopedics & Podiatry;711 Logan Blvd;Altoona;PA;16602;07/01/25
C04306;TA112986;COMP;No
