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Jr. Cut Nyak Dien No. 700, Padang 13191, JaTim
| Gender | Female |
| Birthday | July 02, 1975 (50 years old ) |
| Phone Number | 0291 4389 4391 |
| Email Address | [email protected] |
| Website | suryono.or.id |
| Username | tina.pradipta |
| Password | 4]zd[RWg |
| Master Card Number | 5251411301032920 |
| Credit Card Expire | 05/29 |
| Security Code | 812 |
| Company | PT Nasyiah (Persero) Tbk |
| Occupation | libero |