| Street | 307 Henry St #110 | ||
| City/Town | Alton | ||
| State/Province/Region | Illinois | ||
| Zip/Postal Code | 62002 | ||
| Phone Number | (618) 823-2333 | ||
| Country | United States |
| Full Name | Dr. Ubaldo Kuhic III | ||
| Gender | male | ||
| Birthday | 1970-02-23 | ||
| Social Security Number | 372-37-1904 |
| Credit card brand | American Express | ||
| Credit card number | 348104076104588 | ||
| Expire | 2027/10 | ||
| CVV | 984 |