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Details for CLARK, DALE ROBERT

Agent Details
Name
CLARK, DALE ROBERT 
Address
20244 RAVENS END DRIVE TAMPA, FL 33647 
Business Phone
(813) 574-5600 
Internet
 
Email
phoenixlicensing@humana.com  
Status
Active 
Issue Date
Jul 26, 2017 
License Status Expires Number
Non-Resident Producer Active Oct 31, 2023 625619
      Accident and Hlth or Sickness Active Issued: Aug 09, 2018
      Life Active Issued: Jul 26, 2017
      Accident & Health Inactive Issued: Jul 26, 2017
Agency Affiliations City State License Number Active Date Status
HUMANA MARKETPOINT INC LOUISVILLE KY 103645 Aug 27, 2021 Active
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