| Street | 104 N Stygler Rd |
| City/Town | Columbus |
| State/Province/Region | Ohio |
| Zip/Postal Code | 43230 |
| Phone Number | (614) 475-2273 |
| Country | United States |
| Latitude | 40.020838 |
| Longitude | -82.890317 |
| Full Name | Prof. Macie Halvorson DDS |
| Gender | female |
| Birthday | 1982-12-07 |
| Social Security Number | 572-99-8961 |
| Credit card brand | Unionpay |
| Credit card number | 6253913185943102 |
| Expire | 2023/11 |
| CVV | 928 |