| Gender | female |
|---|---|
| Givenname | Teresia |
| Surname | Blom |
| Streetaddress | Christianslundsvej 27 |
| City | Gjern |
| Zipcode | 8883 |
| Country | Denmark |
| CountryCode | DK |
| Birthday | 12/17/1957 |
| NationalId | 171257-0330 |
| Telephonecountrycode | 45 |
| Telephonenumber | 51-51-15-24 |
| Emailaddress | TeresiaBlom@fleckens.hu |