| Street | 1700 S Lincoln Ave | ||
| City/Town | Lebanon | ||
| State/Province/Region | Pennsylvania | ||
| Zip/Postal Code | 17042 | ||
| Phone Number | (717) 228-6117 | ||
| Country | United States |
| Full Name | Mina Bergnaum | ||
| Gender | female | ||
| Birthday | 1975-05-14 | ||
| Social Security Number | 583-99-0309 |
| Credit card brand | Unionpay | ||
| Credit card number | 6224161108809507 | ||
| Expire | 2027/5 | ||
| CVV | 491 |