| Street | 1025 Glenway Dr | ||
| City/Town | Statesville | ||
| State/Province/Region | North Carolina | ||
| Zip/Postal Code | 28625 | ||
| Phone Number | (704) 871-8737 | ||
| Country | United States |
| Full Name | Maia Kuphal | ||
| Gender | female | ||
| Birthday | 1983-02-17 | ||
| Social Security Number | 546-99-4229 |
| Credit card brand | American Express | ||
| Credit card number | 344521925474314 | ||
| Expire | 2031/4 | ||
| CVV | 502 |