Army Brig. Gen. Stephen R. Hogan (left), adjutant general of the Kentucky National Guard, presents a coin for excellence to Air Force Airman 1st Class Ashley Fletcher, a medic from the West Virginia Air National Guard's 167th Medical Group, at Paducah Tilghman High School in Paducah, Ky., July 22, 2016. Fletcher is one of more than 200 Air and Army National Guardsmen and Navy Reservists who are operating three medical and dental clinics in Western Kentucky to provide no-cost care to residents from July 18 through 27. ( Air National Guard photo by Master Sgt. Phil Speck)

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