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From: MDBG CC-CEDICT Chinese-English Dictionary 漢英字典

 老奶奶 [ㄌㄠˇ ㄋㄞˇ ˙ㄋㄞ; lao3 nai3 nai5]
 (informal) father's father's mother
 paternal great-grandmother
 respectful form of address for an old woman