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Individual

ISMAEL PAGAN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3793 FAYETTE DR, COLUMBUS, OH 43224-2846
(330) 634-6047
Mailing address
3793 FAYETTE DR, COLUMBUS, OH 43224-2846

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
33.019949
OH

Other

Enumeration date
06/15/2015
Last updated
06/15/2015
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