| Street | 55 County Road W 300 S | ||
| City/Town | Kokomo | ||
| State/Province/Region | Indiana | ||
| Zip/Postal Code | 46902 | ||
| Phone Number | (765) 453-4470 | ||
| Country | United States |
| Full Name | Mrs. Erika Nitzsche PhD | ||
| Gender | female | ||
| Birthday | 1985-03-07 | ||
| Social Security Number | 346-08-7602 |
| Credit card brand | JCB | ||
| Credit card number | 3530821168965855 | ||
| Expire | 2027/1 | ||
| CVV | 141 |