Custom paginator?

I have the following query I need to paginate. Looks like I need a
custom paginator for this. Am I right?

SELECT full_name, address1, address2, city, state, zip,
abms_certification, X(geom) AS X, Y(geom) AS Y FROM physicians
where address_status = 1
and geom && Expand(GeometryFromText(‘POINT(47.651443
AND Distance(geom,GeometryFromText(‘POINT(47.651443 -117.411025)’,4326))
< .362

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