Surname Putyomiddlefingersup (Putyomiddlefingersup 
) , around the globe, is an extremely rare cognomen. The last name Putyomiddlefingersup is habitual in Northern America, particularly the United States, where it is an extremely rare surname.
| VARIANT | COUNTRY |
|---|---|
| Putyomiddlefingersup | United States |