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Duke Med 14K Gold Charm S54376 The Arizona State LeGrand RollerballDuke University School of Medicine 14 karat charm features Duke Med logo on front. Measures 19 mm diameter High polish, rich luster finish Combine with another women's accessory for a unique gift set Attractive M. LaHart signature jewelry pouch and gift box Personalize back of charm with class year and or initials Express shipping is available for this item Officially licensed by Duke University School of Medicine Duke University School of Medicine