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On 19 March 1957 at Donaldson AFB, South Carolina, when the 1st Aeromedical Evacuation Group was activated under the USAF Tactical Medical Center it included the 21st and 22d Aeromedical Evacuation Squadrons. On 30 June 1957, the USAF Tactical Medical Center and subordinate units were assigned to the 464th Troop Carrier Wing and relocated to Pope AFB, North Carolina. The USAF Tactical Medical Center was deactivated on 16 September 1957, while at the same time, the 1st Aeromedical Evacuation Group and 21st Aeromedical Evacuation Squadron were reassigned to Pope AFB.In 1965, the 1st Aeromedical Evacuation Group responded to the Dominican Republic Crisis by mobilizing a tactical aeromedical system. Hundreds of patients were safely evacuated to the United States. Part of the 21st Aeromedical Evacuation Squadron deployed to Vietnam in February 1967 in direct support of the 903d Aeromedical Evacuation Flight.On 1 July 1970, the 21st Aeromedical Evacuation Squadron was inactivated. All personnel and equipment were reassigned to the 1st Aeromedical Evacuation Group.
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