C04306;TA113681;BCO3;1;;308644JMB -838;Advanced Regional Ctr for Orthopedics & Podiatry;711 Logan Blvd;Altoona;PA;16602;07/14/25
C04306;TA113681;80014W075;1;;308644JMB -838;Advanced Regional Ctr for Orthopedics & Podiatry;711 Logan Blvd;Altoona;PA;16602;07/14/25
C04306;TA113681;COMP;No
