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You're suggesting an update to Brookdale San Juan Capistrano, San Juan Capistrano, CA.
What should each field say? Leave a field blank to leave it as it is. Only the fields you change are sent.

Current: BROOKDALE SAN JUAN CAPISTRANO

Current: 31741 RANCHO VIEJO ROAD

Current: SAN JUAN CAPISTRANO

Current: CA

Current: 92675

Current: 9492488855

Current: (none listed)

Current: (none listed)

Current: (none listed)

Current: (none listed)

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