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It's not too old-fashioned at all. It's sweet and beautiful, and reminds me of a very strong, courageous woman. A few (ok, actually a lot of) combos I like are:

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Miriam Katherine or Katherine Miriam
Miriam Clare
Abigail Miriam or Miriam Abigail
Anna Miriam
Miriam Elisabeth
Miriam Faith
Miriam Eleanor
Miriam Joy
Stella Miriam
Viola Miriam or Miriam Viola or Miriam Violet or Violet Miriam
Judith Miriam or Miriam Judith
Miriam Ruth (love it, but then again, I love Ruth with about anything)
Miriam June
Miriam Bella
Miriam Lisette
Miriam Sarai (love the combo)
Miriam Quinn
Miriam Irene
Miriam Iris
Miriam Ivy
Miriam Gabriella
Miriam Truth
Miriam Celeste
Miriam Allegra
Miriam Blair
Chloe Miriam
Miriam Damaris
Miriam Danielle
Miriam Elaine
Miriam Esperanza
Miriam Felicity
Miriam Frances
Miriam Hadassah
Miriam Hope (mmm... like it)
Miriam Josephine
Miriam Lavender
Miriam Lilac
Miriam Louise or Miriam Louisa
Lydia Miriam
Natalie Miriam
Miriam Rebekah
Miriam Rose
Miriam Victoria

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Any you like?