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

Current: BASTROP NURSING CENTER

Current: 400 OLD AUSTIN HWY

Current: BASTROP

Current: TX

Current: 78602

Current: 5123212529

Current: (none listed)

Current: (none listed)

Current: (none listed)

Current: (none listed)

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