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Peru/Lake Titicaca/Bolivia

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We are planning a tour of Ecuador and Peru. In Peru we will visit Lake Titicaca. I know it is possible to visit Copabana and the Island of the Sun in Bolivia as a day trip from Puno. What border formalities are there between Peru and Bolivia at the border crossing between Puno and Copabana. We have been advised that we may need a yellow fever vacination. Is this striclty enforced? If we do not have proof of a yellow fever vacination are we made to take the vacination at the border? We will be travelling with a tour group for the day trip. Finally, is Copabana and the Island of Sun worth seeing?

Thanks.

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