There isnt any different strategy to rank local sites, just try to have some backlinks from local directories and get yourself onto the map of search engines and other business engines.
Just be natural, use your main keywords at least once to give your page some relevancy. Don't bother about keyword densities as it may well work against you.
I think it is to make your content more legit, more natural link building and not just doing something to promote things that would make you money. If you write about a serious medical condition, wouldn't you link to an authority site that can provide reliable information on the said topic?
A very complicated situation you are putting yourself in for making money online. Look through this forum for other more powerful and less questionable tactics.
You are on the right track already, expand your PBN as much as you can while looking after them just as you would with your money sites. You would jump huge spots pretty quick.
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