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USAF 60th Medical Service Anniversary Challenge Coin #516S Obama USN Naval Coastal Warfare InshoreUSAF 60th Medical Service Anniversary Challenge Coin #516S Measures approx. 1 1 4" x 1 3 4" inches Your purchase will be packaged carefully and shipped within one business day. It will be shipped USPS first class postage with the tracking information sent to you by eBay. Thank you for looking! COIN STAND NOT INCLUDED We combine shipping. Please add any additional items to your cart. The shipping discounts will automatically calculate at checkout.