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You're suggesting an update to York Nursing And Rehabilitation Center, Oak Lane, PA.
What should each field say? Leave a field blank to leave it as it is. Only the fields you change are sent.

Current: YORK NURSING AND REHABILITATION CENTER

Current: 7101 OLD YORK ROAD

Current: OAK LANE

Current: PA

Current: 19126

Current: 2154244090

Current: (none listed)

Current: (none listed)

Current: (none listed)

Current: (none listed)

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