| Street | 1481 Versailles Rd | ||
| City/Town | Frankfort | ||
| State/Province/Region | Kentucky | ||
| Zip/Postal Code | 40601 | ||
| Phone Number | (502) 352-2505 | ||
| Country | United States |
| Full Name | Dr. Mazie D'Amore Sr. | ||
| Gender | female | ||
| Birthday | 1990-03-08 | ||
| Social Security Number | 189-86-1725 |
| Credit card brand | Discover | ||
| Credit card number | 6011285969865865 | ||
| Expire | 2031/11 | ||
| CVV | 918 |