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I say it closest to Ef-rum, I think. I like both names, but I really really like Orion a lot.

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Ephraim Thomas
Ephraim Barnaby (maybe a bit over the top, but kind of charming...)
Ephraim Dominic
Ephraim Oliver
Ephraim Simon
Ephraim Paul
Ephraim Noel (NOL, not NO-el)

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Orion Alexander
Orion Luke
Orion Philip
Orion Asher
Orion Benedict
Orion Miles
Orion Christopher
Orion Conall

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