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Die struck, hand-engraved miraculous medal is adorned with aquamarine Swarovski crystals. 18-inch sterling silver lite curb chain with lobster clasp. Dimensions: 7/8in x 5/8in with jump ring. This item is the size of a nickel. Made in USA. Back of medal features an M, surmounted by a cross, with 2 hearts and 12 stars.