| Street | 8201 E Hwy 51 | ||
| City/Town | Broken Arrow | ||
| State/Province/Region | Oklahoma | ||
| Zip/Postal Code | 74014 | ||
| Phone Number | (918) 258-5100 | ||
| Country | United States |
| Full Name | Mr. Rollin Friesen | ||
| Gender | male | ||
| Birthday | 1970-11-01 | ||
| Social Security Number | 580-41-2509 |
| Credit card brand | Visa | ||
| Credit card number | 4716959302746486 | ||
| Expire | 2027/12 | ||
| CVV | 432 |