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319E N. Graham Hope dale RoadELIGIBILITY CHECKLIST Burlington, North Carolina 27217 (336) 5709800 Office (336) 5703376 Fax www.opendoorclinic.netDear: Date: ALLinformationbelowisrequiredtobeseenattheOpenDoorClinic.
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It is a document checklist required by the ODC.
All individuals or entities designated by ODC.
Fill out the checklist with accurate information as per the instructions provided by ODC.
The purpose is to gather specific information required by the ODC for regulatory compliance.
Information such as financial data, transaction records, and other relevant details as specified by ODC.
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