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Axia is almost unique, Azzia, very very rare, is typical of Catania, Catania, Fiumefreddo di Sicilia and Paternò, Azzolina has a Sicilian nucleus, especially in eastern Sicily and a Genoese stock, they should all derive directly or through a hypocoristic from the Latin female name Axia or from the name of the Gens Axia. additions provided by Giovanni Vezzelli Azzolina is a Sicilian surname that derives from the endearment of the Lombard Azzilo staff.
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