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You're suggesting an update to Vineyard Court Nursing Center, Columbus, MS.
What should each field say? Leave a field blank to leave it as it is. Only the fields you change are sent.

Current: VINEYARD COURT NURSING CENTER

Current: 2002 5TH STREET NORTH

Current: COLUMBUS

Current: MS

Current: 39705

Current: 6623281133

Current: (none listed)

Current: (none listed)

Current: (none listed)

Current: (none listed)

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