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

Current: GREEN PINE ACRES NURSING HOME

Current: 427 MAIN STREET NORTHEAST

Current: MENAHGA

Current: MN

Current: 56464

Current: 2185644101

Current: (none listed)

Current: (none listed)

Current: (none listed)

Current: (none listed)

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