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You're suggesting an update to Vernon Manor Health Care Center, Vernon, CT.
What should each field say? Leave a field blank to leave it as it is. Only the fields you change are sent.

Current: VERNON MANOR HEALTH CARE CENTER

Current: 180 REGAN ROAD

Current: VERNON

Current: CT

Current: 06066

Current: 8608710385

Current: (none listed)

Current: (none listed)

Current: (none listed)

Current: (none listed)

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