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i dont particularly like the spelling. prefer Juliana but it is a very pretty sounding name. I know a girl called Giuliana (her mother is italian) and her sisters name is Majella (dont know where that one came from)

Giuliana Noelle
Giuliana Elise
??

I think that the name is so strong that a middle name also ending in 'a' would be a bit much...

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Giuliana Alice (pronounced a-LEE-se)
Giuliana Christine
Isabel Giuliana
Alexis Giuliana
Morgan Giuliana

I'm not crazy about it, it's a little too flowery for me.

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How about...

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Giuliana Daisy
Giuliana Rosalie
Giuliana Rosaria
Giuliana Iris
Giuliana Calla
Giuliana Florence
Giuliana Pauline
Giuliana Louise
Giuliana Willow
Giuliana Valentine
Giuliana Viviane
Giuliana Therèse
Giuliana Manon
Giuliana Coralie
Giuliana Elodie
Giuliana Clemence
Giuliana Constance
Giuliana Kateri
Giuliana Marian
Giuliana Maile
Giuliana Maritta

Giuliana Petra
Giuliana Isabella
Giuliana Pearl
Giuliana Nicolette
Giuliana Sofia
Giuliana Clare

Giuliana Luisa
Giuliana Alfreda