| Street | 5870 E Broadway Blvd | ||
| City/Town | Tucson | ||
| State/Province/Region | Arizona | ||
| Zip/Postal Code | 85711 | ||
| Phone Number | (520) 745-2321 | ||
| Country | United States |
| Full Name | Laurie Bernhard | ||
| Gender | female | ||
| Birthday | 1977-06-27 | ||
| Social Security Number | 429-99-3004 |
| Credit card brand | Diners Club | ||
| Credit card number | 3854226208603979 | ||
| Expire | 2028/12 | ||
| CVV | 612 |