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

Current: YORKTOWN NURSING AND REHABILITATION CENTER

Current: 670 W FOURTH ST

Current: YORKTOWN

Current: TX

Current: 78164

Current: 3615642275

Current: (none listed)

Current: (none listed)

Current: (none listed)

Current: (none listed)

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