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Organization
POLISHED PATH LLC
Active
Organization
POLISHED PATH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BLASSE (OWNER)
(704) 576-4198
Entity
Organization
Contact information
Practice address
6736 PATTONSBURG DR, CHARLOTTE, NC 28213-2152
(704) 576-4198
Mailing address
635 MCALWAY RD APT 106, CHARLOTTE, NC 28211-1411
(704) 576-4198
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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