| Street | 17611 U.S. 24 | ||
| City/Town | Independence | ||
| State/Province/Region | Missouri | ||
| Zip/Postal Code | 64056 | ||
| Phone Number | (816) 257-7787 | ||
| Country | United States |
| Full Name | Dr. Marion Collier Sr. | ||
| Gender | female | ||
| Birthday | 1981-01-02 | ||
| Social Security Number | 543-81-5603 |
| Credit card brand | Visa | ||
| Credit card number | 4532674854468387 | ||
| Expire | 2029/7 | ||
| CVV | 337 |