C02634;TA113174;TCO3;1;;DEWAYNE MUMFORD-692;Southern Delaware Foot & Ankle Llc;8857 Riverside Drive;Seaford;DE;19973;07/03/25
C02634;TA113174;619M130;1;;DEWAYNE MUMFORD-692;Southern Delaware Foot & Ankle Llc;8857 Riverside Drive;Seaford;DE;19973;07/03/25
C02634;TA113174;COMP;No
