| Street | Fremont, NE 68025 | ||
| City/Town | Fremont | ||
| State/Province/Region | Nebraska | ||
| Zip/Postal Code | 68025 | ||
| Phone Number | (402) 727-3290 | ||
| Country | United States |
| Full Name | Dr. Pink Effertz IV | ||
| Gender | female | ||
| Birthday | 1971-04-12 | ||
| Social Security Number | 138-25-7159 |
| Credit card brand | Mastercard | ||
| Credit card number | 5441004577824103 | ||
| Expire | 2029/3 | ||
| CVV | 670 |