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• Mouth of the Earth
• Item Level 333Disenchants into:
  [Dream Shard]: 1 (99.5%)
  [Abyss Crystal]: 1 (0.5%)
• Binds when picked up
• Neck
• +149 Agility
  +224 Stamina
• Requires Level 83
• Equip: Improves hit rating by 100.
  Equip: Increases your expertise rating by 100.
• Sell Price: 5 34 34

Source

This item drops from Earthrager Ptah in the Tomb of the Earthrager in Halls of Origination.

Patches and hotfixes

• Patch 4.0.3 (15-Nov-2010): Added. 
  

External links

• Battle.net (EU)
• Wowhead
• Thottbot
• WoWDB