| Street | 1331 Nicholson Ave | ||
| City/Town | Santa Maria | ||
| State/Province/Region | California | ||
| Zip/Postal Code | 93454 | ||
| Phone Number | (805) 922-1468 | ||
| Country | United States |
| Full Name | Dr. Newell O'Keefe | ||
| Gender | male | ||
| Birthday | 1991-05-26 | ||
| Social Security Number | 418-67-1171 |
| Credit card brand | Unionpay | ||
| Credit card number | 6258521181513616 | ||
| Expire | 2027/5 | ||
| CVV | 880 |