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You're suggesting an update to Scotia Village-Snf, Laurinburg, NC.
What should each field say? Leave a field blank to leave it as it is. Only the fields you change are sent.

Current: SCOTIA VILLAGE-SNF

Current: 2200 ELM DRIVE

Current: LAURINBURG

Current: NC

Current: 28352

Current: 9102772000

Current: (none listed)

Current: (none listed)

Current: (none listed)

Current: (none listed)

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