| Street | 657 Silas Deane Hwy | ||
| City/Town | Wethersfield | ||
| State/Province/Region | Connecticut | ||
| Zip/Postal Code | 06109 | ||
| Phone Number | (860) 257-8000 | ||
| Country | United States |
| Full Name | Prof. Antonietta Champlin | ||
| Gender | female | ||
| Birthday | 1992-11-24 | ||
| Social Security Number | 306-37-5085 |
| Credit card brand | JCB | ||
| Credit card number | 3586531556605293 | ||
| Expire | 2030/2 | ||
| CVV | 025 |