| Street | 20 N Park Pl | ||
| City/Town | Newark | ||
| State/Province/Region | Ohio | ||
| Zip/Postal Code | 43055 | ||
| Phone Number | (740) 345-9791 | ||
| Country | United States |
| Full Name | Charlene Kozey DVM | ||
| Gender | female | ||
| Birthday | 1986-02-20 | ||
| Social Security Number | 578-53-6449 |
| Credit card brand | Discover | ||
| Credit card number | 6011598958841253 | ||
| Expire | 2031/2 | ||
| CVV | 160 |