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

Current: LEISURE VILLAGE HEALTH CARE CENTER

Current: 2154 SOUTH 85TH EAST AVENUE

Current: TULSA

Current: OK

Current: 74129

Current: 9186224747

Current: (none listed)

Current: (none listed)

Current: (none listed)

Current: (none listed)

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