| Street | 4521 Karnack Hwy | ||
| City/Town | Marshall | ||
| State/Province/Region | Texas | ||
| Zip/Postal Code | 75672 | ||
| Phone Number | (903) 938-4455 | ||
| Country | United States |
| Full Name | Prof. Janae Mante MD | ||
| Gender | female | ||
| Birthday | 1990-04-04 | ||
| Social Security Number | 503-45-9649 |
| Credit card brand | American Express | ||
| Credit card number | 346817303021521 | ||
| Expire | 2031/8 | ||
| CVV | 796 |