John W Benus

Debarred entity

Born 11 Jan 1943 (83 years old),United States. Named in 1 sanctions listing.

Sanctions and listings1

Effective
31 Oct 2020
Official designation
Mississippi Division of MedicaidUS Mississippi Medicaid Terminated Provider ListUnited States
Licensing Problems
medicaid.ms.gov

Identifiers1

Identifier	Number
NPI number	1720195860

Addresses1

4311 Chicot Street

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