| Street | 1380 Jerome Ave |
| City/Town | Bronx |
| State/Province/Region | North Dakota |
| Zip/Postal Code | 10452 |
| Phone Number | (718) 538-6820 |
| Country | United States |
| Latitude | 40.839668 |
| Longitude | -73.917826 |
| Full Name | Mrs. Meggie Koelpin DVM |
| Gender | female |
| Birthday | 1987-12-25 |
| Social Security Number | 083-02-1738 |
| Credit card brand | Visa |
| Credit card number | 4024007105163298 |
| Expire | 2023/7 |
| CVV | 455 |