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The site pain-management-center-paducah.calls.net states the following, "Pain Management Center of Paducah." I noticed that the webpage stated " Pain Management Center of Paducah." They also stated " Pain Management Center of Paducah. The combined Pain Management and Ambulatory Surgery Centers proudly deliver the highest quality patient care services through the efforts of a renowned professional staff who are hired and provide care without regard to race, color, religion, gender, physical disabilities, national origin, or veteran status." The meta header had pain management center of Paducah as the first keyword. This keyword was followed by pain management center of, pain managment center Paducah, and pain management center which isn't as important as pain management center of Paducah. The other words the site used was pain mangement Paducah. pain management is also included but could not be understood by search engines.