| Street | 4980 Main St | ||
| City/Town | Kansas City | ||
| State/Province/Region | Missouri | ||
| Zip/Postal Code | 64112 | ||
| Phone Number | (816) 753-0810 | ||
| Country | United States |
| Full Name | Dr. Bernardo Olson | ||
| Gender | male | ||
| Birthday | 1994-12-09 | ||
| Social Security Number | 001-11-3835 |
| Credit card brand | Unionpay | ||
| Credit card number | 6288091983280685 | ||
| Expire | 2029/8 | ||
| CVV | 032 |