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

Current: OXNARD MANOR HEALTHCARE CENTER

Current: 1400 W GONZALES RD

Current: OXNARD

Current: CA

Current: 93030

Current: 8059830324

Current: (none listed)

Current: (none listed)

Current: (none listed)

Current: (none listed)

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