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

Current: MAGNOLIA MANOR NURSING HOME

Current: 510 E BONHAM

Current: JEFFERSON

Current: TX

Current: 75657

Current: 9036653903

Current: (none listed)

Current: (none listed)

Current: (none listed)

Current: (none listed)

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