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US Naval Academy 1969 Challenge Coin #490X President Biden USAF Medical Service Cutting EdgeUS Naval Academy 1969 Challenge Coin #490X Measures approx. 1 5 8" inches Your purchase will be packaged carefully and shipped within one business day. Thank you for looking! * PLASTIC COIN STAND NOT INCLUDED * *** We combine shipping. Please add any additional items to your cart. The shipping discounts will automatically calculate at checkout. Items must be added to your cart and not purchased separately because the discounts can no longer be applied.