| Street | 630 E University Dr | ||
| City/Town | Granger | ||
| State/Province/Region | Indiana | ||
| Zip/Postal Code | 46530 | ||
| Phone Number | (574) 243-3500 | ||
| Country | United States |
| Full Name | Anderson Moore | ||
| Gender | male | ||
| Birthday | 1971-05-12 | ||
| Social Security Number | 516-49-1786 |
| Credit card brand | Unionpay | ||
| Credit card number | 6263595228548788 | ||
| Expire | 2029/7 | ||
| CVV | 696 |