Statements: JOHNNY CLYDE JR BENJAMIN

Canonical ID: NK-d974GuQspPLFGmK6C35pSE · Entity type: Person (reference)

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Property	Value	Lang	Source dataset	Source ID	First seen
`Person:address`	P O BOX 1033, #16689-104, COLEMAN, FL 33521	eng	us_hhs_exclusions	`us-fed-excl-johnny-clyde-jr-benjamin-33521-coleman`	2024-06-06
`Person:birthDate`	1965-11-13	eng	us_hhs_exclusions	`us-fed-excl-johnny-clyde-jr-benjamin-33521-coleman`	2024-05-08
`Person:country`	us	eng	us_hhs_exclusions	`us-fed-excl-johnny-clyde-jr-benjamin-33521-coleman`	2024-05-08
`Person:firstName`	JOHNNY	eng	us_hhs_exclusions	`us-fed-excl-johnny-clyde-jr-benjamin-33521-coleman`	2024-05-08
`Person:id`	19650c9b0b17c76db6c9277e830d4f9c0f2dc722	eng	us_hhs_exclusions	`us-fed-excl-johnny-clyde-jr-benjamin-33521-coleman`	2025-09-12
`Person:lastName`	BENJAMIN	eng	us_hhs_exclusions	`us-fed-excl-johnny-clyde-jr-benjamin-33521-coleman`	2024-05-08
`Person:middleName`	CLYDE JR	eng	us_hhs_exclusions	`us-fed-excl-johnny-clyde-jr-benjamin-33521-coleman`	2024-10-11
`Person:name`	JOHNNY CLYDE JR BENJAMIN	eng	us_hhs_exclusions	`us-fed-excl-johnny-clyde-jr-benjamin-33521-coleman`	2024-05-08
`Person:npiCode`	1265464168	eng	us_hhs_exclusions	`us-fed-excl-johnny-clyde-jr-benjamin-33521-coleman`	2024-06-06
`Person:position`	SURGERY (PHYSICIAN (MD, DO))	eng	us_hhs_exclusions	`us-fed-excl-johnny-clyde-jr-benjamin-33521-coleman`	2024-05-08
`Person:programId`	US-HHS-OIG	eng	us_hhs_exclusions	`us-fed-excl-johnny-clyde-jr-benjamin-33521-coleman`	2025-09-12
`Person:topics`	debarment	eng	us_hhs_exclusions	`us-fed-excl-johnny-clyde-jr-benjamin-33521-coleman`	2024-05-08