| Street | 2213 N Waverly St #3 | ||
| City/Town | Ponca City | ||
| State/Province/Region | Oklahoma | ||
| Zip/Postal Code | 74601 | ||
| Phone Number | (580) 762-5507 | ||
| Country | United States |
| Full Name | Rubie Veum DDS | ||
| Gender | female | ||
| Birthday | 1981-04-19 | ||
| Social Security Number | 450-99-3884 |
| Credit card brand | JCB | ||
| Credit card number | 3533005449659282 | ||
| Expire | 2030/2 | ||
| CVV | 063 |