| Street | 9302 S Lynn Lane Rd |
| City/Town | Broken Arrow |
| State/Province/Region | Oklahoma |
| Zip/Postal Code | 74012 |
| Phone Number | (918) 455-7721 |
| Country | United States |
| Latitude | 36.02886 |
| Longitude | -95.779594 |
| Full Name | Tiffany Gorczany |
| Gender | female |
| Birthday | 1982-03-15 |
| Social Security Number | 440-29-2469 |
| Credit card brand | JCB |
| Credit card number | 3596884104494019 |
| Expire | 2027/12 |
| CVV | 222 |