H;C03965;C03965;;20250509;TA109885-1267432-TC;;;;;Geisinger Orthotics-GMC;100 N Academy Avenue;;Danville;PA;17822;;;1267432-TC;003
D;TCO3;;PR;1;TINA CIENKI-528;
D;80042W100;;PR;1;TINA CIENKI-528;