| Street | 631 U.S. 20 | ||
| City/Town | Michigan City | ||
| State/Province/Region | Indiana | ||
| Zip/Postal Code | 46360 | ||
| Phone Number | (219) 879-0062 | ||
| Country | United States |
| Full Name | Dr. Junior Fadel PhD | ||
| Gender | male | ||
| Birthday | 1974-12-13 | ||
| Social Security Number | 249-99-0589 |
| Credit card brand | EnRoute | ||
| Credit card number | 2149980614981943 | ||
| Expire | 2027/3 | ||
| CVV | 979 |