| Street | 523 E 3rd St | ||
| City/Town | Williamsport | ||
| State/Province/Region | Pennsylvania | ||
| Zip/Postal Code | 17701 | ||
| Phone Number | (570) 326-7873 | ||
| Country | United States |
| Full Name | Prof. Electa Bosco | ||
| Gender | female | ||
| Birthday | 1989-09-09 | ||
| Social Security Number | 534-71-3198 |
| Credit card brand | American Express | ||
| Credit card number | 341150430520826 | ||
| Expire | 2030/12 | ||
| CVV | 715 |