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1467562496
PACHAGIRI L SURESH
LAKE CITY, FL
NPI
1467562496
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: FL 50496)
Enumeration Date
2006-08-30
Last Update Date
2007-07-26
Business Address
-- PACHAGIRI L SURESH MD
619 S MARION AVE
LAKE CITY, FL 32025-5808
Phone number: 386-755-3016
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Mailing Address
-- PACHAGIRI L SURESH MD
118 NW COUNTRY LAKE GLN
LAKE CITY, FL 32055-8548
Phone number: 386-755-3016
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