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US Navy ND Lt. Cmdr. Ryan Fowler embarked aboard the multipurpose amphibious assault ship USS Iwo Jima LHD examines man's. en OREALLA Guyana Oct Lt Cmdr Ryan Fowler embarked aboard the multipurpose amphibious assault ship USS Iwo Jima LHD examines man's leg during Continuing Promise medical civic action program in Orealla Guyana