| Street | 18040 Autumn View Dr | ||
| City/Town | Prairieville | ||
| State/Province/Region | Louisiana | ||
| Zip/Postal Code | 70769 | ||
| Phone Number | (225) 622-2183 | ||
| Country | United States |
| Full Name | Kristopher Denesik PhD | ||
| Gender | male | ||
| Birthday | 1972-11-09 | ||
| Social Security Number | 301-15-7594 |
| Credit card brand | American Express | ||
| Credit card number | 348124840394216 | ||
| Expire | 2030/2 | ||
| CVV | 136 |