Street | Jl. Yos Sudarso No.57 Palangka Jekan Raya Palangka Raya Kalimantan Tengah |
City/Town | Palangka Raya |
State/Province/Region | Kalimantan Tengah |
Zip/Postal Code | 73112 |
Phone Number | (0536) 3229837 |
Country | Indonesia |
Latitude | -2.205138 |
Longitude | 113.920911 |
Full Name | Jati Prabowo Lazuardi S.H. |
Gender | male |
Birthday | 1981-02-23 |
Social Security Number |
Credit card brand | EnRoute |
Credit card number | 2014204592499287 |
Expire | 2029/12 |
CVV | 659 |