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You're suggesting an update to Shoreline Care 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: SHORELINE CARE CENTER

Current: 5225 SOUTH J ST

Current: OXNARD

Current: CA

Current: 93033

Current: 8054883696

Current: (none listed)

Current: (none listed)

Current: (none listed)

Current: (none listed)

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