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

Current: CITRUS NURSING CENTER

Current: 9440 CITRUS AVENUE

Current: FONTANA

Current: CA

Current: 92335

Current: 9098233481

Current: (none listed)

Current: (none listed)

Current: (none listed)

Current: (none listed)

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