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Government Of Puerto Rico State Emergency Medical Services Challenge Coin #C191 Nellis 2 1/2" x 2 1/8"Government Of Puerto Rico State Emergency Medical Services Challenge Coin #C191 Measures approx 1 5 8" 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! * Plastic Coin Stand Not Included * *** We combine shipping. Please add any additional items to your cart. The shipping discounts will automatically