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Wise, Virginia.USA.July 25, 2009..Plastic surgeon Vincent Voci removes a mole from a patient at the Remote Area Medical (RAM) health clinic during the second day at the Wise County Fairgrounds. The free clinic, which lasts 2 1/2 days, is the largest of its kind in the nation, providing medical, dental and vision services from more than 1,400 medical volunteers. For many residents of this Appalachian area the RAM clinic serves as the only medical care they may receive each year.