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Silver Plate Vintage Hand Carved Bone Cigarette Holder Stick High Relief Foliate Flowers 4" Located in Dayton, OH This vintage, cream-colored cigarette holder is crafted from genuine carved bone, tapering gently toward a flattened mouthpiece

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They have popped up in other settings

Although, this procedure is quite expensive but is worth the cost

This includes devices that are nicotine-free or marketed as safer alternatives