Lt. Gen. Nadja West, Army Surgeon General and Commanding General, US Army Medical Command, presents an Army Medicine medallion to Brig. Gen. Norvell Coots in recognition of his 33 years of service during an award ceremony June 24, 2016, at Sembach Kaserne, Germany. Minutes later, Brig. Gen. Coots relinquished command of the Regional Health Command Europe during a change of command ceremony ( Army Photo by Visual Information Specialist Elisabeth Paque/Released)

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