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Desirae Tabor-Bannister
NPI 1174413942 · on the registry since 2025
Practice
- Address
- 7 Colburn Rd
Stafford Springs, CT 06076 - Phone
- (860) 458-8361
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-07-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut