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SANTO DOMINGO, Dominican Republic (April 27, 2009) Lt. Cdr Gayle Kostyack, a U.S. Public Health Service dental hygienist, performs an oral examination on a patient aboard the Military Sealift Command hospital ship USNS Comfort (T-AH 20) in support of Continuing Promise 2009. Comfort deployed as part of the four-month Continuing Promise 2009 humanitarian and civic assistance mission to Latin America and the Caribbean. (U.S. Navy photo by Mass Communication Specialist 1st Class Brian Finney/Released)

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