C04415;TA113609;TCO1;1;42551;MARNITA SIMPSON-823;Horton's Orthotic Lab-Jonesboro;2760 Browns Lane Suite A ;Jonesboro;AR;72401;07/11/25
C04415;TA113609;20022W110;1;42551;MARNITA SIMPSON-823;Horton's Orthotic Lab-Jonesboro;2760 Browns Lane Suite A ;Jonesboro;AR;72401;07/11/25
C04415;TA113609;COMP;No
