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It's a stupid word that people use when they're too lazy to say Miami properly
@billybob: I'm going to M-I-A-O instead of Miami because I'm too tired to talk
My mom said, 'Go to M-I-A-O, I don't wanna hear about it anymore'
My teacher wrote 'M-I-A-O' on the board and said it was a substitute for Miami because he's a bad teacher