Usually means: Fellow countryman, often used affectionately.
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We found 18 dictionaries that define the word paisano:

General (17 matching dictionaries)
  1. paisano: Merriam-Webster
  2. paisano: Oxford Learner's Dictionaries
  3. paisano: American Heritage Dictionary of the English Language
  4. paisano: Collins English Dictionary
  5. Paisano, paisano: Wordnik
  6. paisano: Wiktionary
  7. paisano: Webster's New World College Dictionary, 4th Ed.
  8. paisano: The Wordsmyth English Dictionary-Thesaurus
  9. paisano: Infoplease Dictionary
  10. Paisano, paisano: Dictionary.com
  11. paisano: Online Etymology Dictionary
  12. Paisano, The Paisano: Wikipedia, the Free Encyclopedia
  13. Paisano: Online Plain Text English Dictionary
  14. paisano: Webster's Revised Unabridged, 1913 Edition
  15. Paisano: AllWords.com Multi-Lingual Dictionary
  16. paisano: FreeDictionary.org
  17. paisano: TheFreeDictionary.com

Medicine (1 matching dictionary)
  1. online medical dictionary (No longer online)

(Note: See paisanos as well.)

Definitions from Wiktionary (paisano)

noun:  Among Italian Americans and Americans of Italian descent: a fellow Italian or Italian-American; a fellow ethnic Italian.
noun:  A native, especially a native of California of mixed Spanish and American Indian ancestry.
noun:  (US, Southwestern US) A roadrunner.

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