| Street | 6320 Monrovia St | ||
| City/Town | Shawnee | ||
| State/Province/Region | Kansas | ||
| Zip/Postal Code | 66216 | ||
| Phone Number | (913) 631-3545 | ||
| Country | United States |
| Full Name | Alfonso Stracke PhD | ||
| Gender | male | ||
| Birthday | 1971-05-23 | ||
| Social Security Number | 428-99-6002 |
| Credit card brand | Diners Club | ||
| Credit card number | 3694144524604809 | ||
| Expire | 2028/6 | ||
| CVV | 207 |