C01630;TA113852;987W095;1;;Angela Ruppel;Kevin Powers, Dpm;1791 W Third Street;Bloomington;IN;47404;07/15/25
C01630;TA113852;TDIWW095;3;;Angela Ruppel;Kevin Powers, Dpm;1791 W Third Street;Bloomington;IN;47404;07/15/25
C01630;TA113852;COMP;No
