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161205-N-BB534-686 SAN DIEGO (Dec. 5, 2016) Rear Adm. Bruce Gillingham shakes hands with Rear Adm. Paul Pearigen after a Navy Medicine West change of command ceremony. At the ceremony Pearigen relieved Gillingham. (Photos by Petty Officer 1st Class Elizabeth Merriam/Released)

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Photo by: Petty Officer 1st Class Elizabet |  VIRIN: 161205-N-BB534-686.jpg