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Individual

CAMILLE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(909) 922-4889
Mailing address
7432 SAINTSBURY PL, RANCHO CUCAMONGA, CA 91739-8563
(909) 922-4889

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A188246
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/26/2020
Last updated
05/04/2026
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