BLAKE LEE BERTOLINO

CHARLOTTE, NC
NPI1477136711
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-05-04
Last Update Date2026-06-08
Business Address
-- BLAKE LEE BERTOLINO
6324 FAIRVIEW RD STE 400
CHARLOTTE, NC 28210-4278
Phone number: 406-281-1173
Mailing Address
-- BLAKE LEE BERTOLINO
1585 E 120TH ST
OLATHE, KS 66061-9504
Phone number: 406-281-1173
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