| Street | 234 W Jericho Turnpike | ||
| City/Town | Huntington Station | ||
| State/Province/Region | New York | ||
| Zip/Postal Code | 11746 | ||
| Phone Number | (631) 423-5400 | ||
| Country | United States |
| Full Name | Miss Jacquelyn Leannon I | ||
| Gender | female | ||
| Birthday | 1994-08-12 | ||
| Social Security Number | 133-98-3254 |
| Credit card brand | Mastercard | ||
| Credit card number | 5422339472693325 | ||
| Expire | 2029/12 | ||
| CVV | 964 |