C01268;TA113705;410XXW120;1;;Ramie Mourad;Foot & Ankle Physicians & Surgeons - Toledo;3055 W Sylvania Ave.;Toledo;OH;43613;07/14/25
C01268;TA113705;TDIMXW120;1;;Ramie Mourad;Foot & Ankle Physicians & Surgeons - Toledo;3055 W Sylvania Ave.;Toledo;OH;43613;07/14/25
C01268;TA113705;COMP;No
