| Street | 817 N Canal St | ||
| City/Town | Carlsbad | ||
| State/Province/Region | New Mexico | ||
| Zip/Postal Code | 88220 | ||
| Phone Number | (575) 885-8744 | ||
| Country | United States |
| Full Name | Derek Shanahan | ||
| Gender | male | ||
| Birthday | 1994-04-19 | ||
| Social Security Number | 446-27-1640 |
| Credit card brand | JCB | ||
| Credit card number | 3559572003779615 | ||
| Expire | 2030/1 | ||
| CVV | 104 |