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Cognomen Itzal (Itzal ) , worldwide, is an extremely rare last name. The family name Itzal is habitual in Honduras, where it is a very rare surname, Mexico, where it is an extremely rare surname, and the United States. More prevalently, Itzal is the forename as well as the last name.
So, Arbide, Uchiha, Arteaga, Arzubia, Persaud, Kaltzado, Zengotitabengoa, and Gutiérrez-Barquín