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concierge medicine
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concha (2)

con·cha [ kónchə ] (plural con·chas) or con·cho [ kónchə ] (plural con·chos)


noun 
Definition:
 
Southwestern U.S. decoration on cowhand's clothing: a usually silver, shell-shaped ornament that is attached to a cowboy's hatband, chaps, belt, or saddle

[Late 19th century. Via American Spanish< Spanish, "shell"]
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