| Street | 1555 Snowy Range Rd | ||
| City/Town | Laramie | ||
| State/Province/Region | Wyoming | ||
| Zip/Postal Code | 82070 | ||
| Phone Number | (307) 742-8371 | ||
| Country | United States |
| Full Name | Dr. Yoshiko Beer III | ||
| Gender | female | ||
| Birthday | 1982-09-18 | ||
| Social Security Number | 531-71-4757 |
| Credit card brand | Diners Club | ||
| Credit card number | 3029918739866105 | ||
| Expire | 2029/1 | ||
| CVV | 066 |