| Street | 1375 S National Ave |
| City/Town | Springfield |
| State/Province/Region | Mississippi |
| Zip/Postal Code | 65804 |
| Phone Number | (417) 864-0040 |
| Country | United States |
| Latitude | 37.189547 |
| Longitude | -93.276998 |
| Full Name | Dr. Dashawn Breitenberg |
| Gender | male |
| Birthday | 1974-07-22 |
| Social Security Number | 493-29-4625 |
| Credit card brand | Diners Club |
| Credit card number | 3699425558748041 |
| Expire | 2031/8 |
| CVV | 167 |