Guy Kiyokawa, deputy director, Defense Health Agency, left, speaks with Col. George Appenzeller, market manager, Puget Sound Military Health System, right, Oct. 3 at the annual Puget Sound MHS Performance Planning offsite at American Lake Conference Center at Joint Base Lewis-McChord, Washington.

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Keywords: air, america, archive, armed, army, defence, force, forces, mhs, military, navy, puget, reportage, service, serviceman, servicemen, soldier, sound, states, united, usa