| Street | 1 Park Pl | ||
| City/Town | Elmira | ||
| State/Province/Region | New York | ||
| Zip/Postal Code | 14901 | ||
| Phone Number | (607) 735-1724 | ||
| Country | United States |
| Full Name | Dr. Stevie Wuckert Jr. | ||
| Gender | male | ||
| Birthday | 1973-10-29 | ||
| Social Security Number | 215-91-9697 |
| Credit card brand | EnRoute | ||
| Credit card number | 2149680086410971 | ||
| Expire | 2029/10 | ||
| CVV | 901 |