- ID
- 23
- Name
- Prof. Orville Ortiz III
- Gender
- male
- Birth Date
- 30 Jul 2010 / 15 years old
- National Id
- 9783583427965562
- Phone
- (520) 300-2199
- Email
- jfadel@example.net
- Address
- 12978 Arnoldo Islands, Iowa, Chrisbury, 13636-5559
- Insurance
- Rau-Walker
- Emergency Contact
- Name: Prof. Bryce Heaney V, Relationship: parent, Phone: +1-714-715-7387
- Status
- deceased
- Created At
- 06 Jan 2024