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1225032956
LUIS PAGOAGA
JACKSON, TN
NPI
1225032956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TN 29003)
Enumeration Date
2005-06-10
Last Update Date
2013-08-28
Business Address
-- LUIS PAGOAGA M.D.
2859 HIGHWAY 45 BYP
JACKSON, TN 38305-3618
Phone number: 731-660-8360
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Mailing Address
-- LUIS PAGOAGA M.D.
PO BOX 400
JACKSON, TN 38302-0400
Phone number: 731-423-8697
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