| Street | 615 5th Ave S | ||
| City/Town | Edmonds | ||
| State/Province/Region | Washington | ||
| Zip/Postal Code | 98020 | ||
| Phone Number | (425) 775-1134 | ||
| Country | United States |
| Full Name | Dr. Lue Bahringer | ||
| Gender | female | ||
| Birthday | 1998-05-01 | ||
| Social Security Number | 490-29-1718 |
| Credit card brand | Diners Club | ||
| Credit card number | 3822615403427102 | ||
| Expire | 2030/12 | ||
| CVV | 226 |