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You're suggesting an update to Happy Siesta Nursing Home, Remsen, IA.
What should each field say? Leave a field blank to leave it as it is. Only the fields you change are sent.

Current: HAPPY SIESTA NURSING HOME

Current: 423 ROOSEVELT STREET

Current: REMSEN

Current: IA

Current: 51050

Current: 7127861117

Current: (none listed)

Current: (none listed)

Current: (none listed)

Current: (none listed)

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