| Street | 641 Academy Ave | ||
| City/Town | Sanger | ||
| State/Province/Region | California | ||
| Zip/Postal Code | 93657 | ||
| Phone Number | (559) 876-2666 | ||
| Country | United States |
| Full Name | Dr. Dominic Bauch III | ||
| Gender | male | ||
| Birthday | 1975-05-09 | ||
| Social Security Number | 530-99-5744 |
| Credit card brand | Voyager | ||
| Credit card number | 8699621089778544 | ||
| Expire | 2027/2 | ||
| CVV | 438 |