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Individual

JOHN KENNETH DELKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LADC

Contact information

Practice address
11505 36TH AVE N, PLYMOUTH, MN 55441-2304
(877) 803-1520
Mailing address
8238 PALMGREN AVE NE, OTSEGO, MN 55330-7294
(612) 655-8902

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MN

Other

Enumeration date
06/01/2026
Last updated
06/01/2026
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