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You're suggesting an update to Bethel Lutheran Home, Selma, CA.
What should each field say? Leave a field blank to leave it as it is. Only the fields you change are sent.

Current: BETHEL LUTHERAN HOME

Current: 2280 DOCKERY AVENUE

Current: SELMA

Current: CA

Current: 93662

Current: 5598964900

Current: (none listed)

Current: (none listed)

Current: (none listed)

Current: (none listed)

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