Name | Reguraganata Tampubolon |
---|---|
Sex | male |
Birth Date | July 8, 1967 |
Death Date | June 11, 1991 |
Age at Death | 23 years, 11 months, 3 days old |
Birth Place | Other Country |
Death Place | San Bernardino County, California |
Mother's Maiden Name | Manurung |
Social Security Number | 562-93-4286 |