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Duke Med Dog Tag by John Hardy S86697 James Madison University 14-karat charmA powerful statement of Duke Med pride, the John Hardy Dog tag is intricately detailed with Duke Med logo and iconic chain designs. John Hardy is the only luxury brand to handcraft each piece by its own master artisans Measures 1. 6" x . 75" Sterling Silver John Hardy gift box and jewelry pouch included Express shipping is not available for this item Officially licensed by Duke University School of Medicine, only at M. LaHart