| Street | 125 1st Ave NE | ||
| City/Town | Faribault | ||
| State/Province/Region | Minnesota | ||
| Zip/Postal Code | 55021 | ||
| Phone Number | (507) 331-3255 | ||
| Country | United States |
| Full Name | Dr. Camron Paucek Jr. | ||
| Gender | male | ||
| Birthday | 1982-11-25 | ||
| Social Security Number | 234-57-2650 |
| Credit card brand | Unionpay | ||
| Credit card number | 6243315214258309 | ||
| Expire | 2029/3 | ||
| CVV | 621 |