| Street | 38 N Central Ave #100 | ||
| City/Town | Medford | ||
| State/Province/Region | Oregon | ||
| Zip/Postal Code | 97501 | ||
| Phone Number | (541) 779-1321 | ||
| Country | United States |
| Full Name | Ms. Juana Kihn | ||
| Gender | female | ||
| Birthday | 1980-12-15 | ||
| Social Security Number | 517-49-4796 |
| Credit card brand | American Express | ||
| Credit card number | 375708103053596 | ||
| Expire | 2028/9 | ||
| CVV | 274 |