Often times they are the same thing. Its just sometimes they put a link to the uninstaller in the programs folder with the other entries for that program and sometimes they don't. Really though, separate uninstallers are from a different age of computing (pre-Windows 2000). In days past the uninstallers built into Windows were kind of useless but they have improved greatly over the years. Many programs these days just using the Windows Installer to get the job done. Still, many default uninstallers, separate utilities or not, leave traces behind. I use Revo Uninstaller if I really want something gone.
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