C00168;TA113493;TCO3;1;;Solomon Acevedo;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;07/09/25
C00168;TA113493;618W115;1;;Solomon Acevedo;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;07/09/25
C00168;TA113493;COMP;No
