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Medical Cross Identification Requested

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I'm having a hard time finding info on this pin. I included a picture from the reverse, because the front looks like it's much earlier than it is. I feel it must be WWII or later, but am having a hard time piecing together what the text on the front means. "49th A.A." sounds like military speak to me, but I'm really at a loss on this one....


Semper Fi, 

Tom Lantz






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