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You're suggesting an update to Lakeshore Inn Nursing Home, Waseca, MN.
What should each field say? Leave a field blank to leave it as it is. Only the fields you change are sent.

Current: LAKESHORE INN NURSING HOME

Current: 108 8TH STREET NORTHWEST

Current: WASECA

Current: MN

Current: 56093

Current: 5078352800

Current: (none listed)

Current: (none listed)

Current: (none listed)

Current: (none listed)

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