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

Current: SHATTUCK NURSING CENTER

Current: 201 NORTH ALFALFA

Current: SHATTUCK

Current: OK

Current: 73858

Current: 5809382501

Current: (none listed)

Current: (none listed)

Current: (none listed)

Current: (none listed)

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