Family name Pietrafesa (Pietrafesa 
) , throughout the world, is quite a rare cognomen. The family name Pietrafesa is habitual in Paraguay, where it is quite a rare surname, Uruguay, and Italy. Measured by absolute frequency, it most frequently occurs in Italy, Argentina, and Paraguay.
| VARIANT | COUNTRY |
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| Pietrafesa | Paraguay, Uruguay, Italy, United States, Argentina |
| roque emilio pietrafesa Uruguayan composer and musician, UY (b. 1898) |
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patricia pietrafesa Argentine singer, AR (b. 1963) |
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| miguel pietrafesa UY (b. 1914) |
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| maría del carmen de lapuente pietrafesa UY (b. 1939) |
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| michele pietrafesa researcher |
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| mariagrazia pietrafesa |
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