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

Current: LAKE FOREST NURSING CENTER

Current: 25652 OLD TRABUCO ROAD

Current: LAKE FOREST

Current: CA

Current: 92630

Current: 9493809380

Current: (none listed)

Current: (none listed)

Current: (none listed)

Current: (none listed)

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