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You're suggesting an update to Checotah Nursing Center, Checotah, OK.
What should each field say? Leave a field blank to leave it as it is. Only the fields you change are sent.

Current: CHECOTAH NURSING CENTER

Current: 321 SOUTHEAST 2ND STREET

Current: CHECOTAH

Current: OK

Current: 74426

Current: 9184732251

Current: (none listed)

Current: (none listed)

Current: (none listed)

Current: (none listed)

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